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NOTIFICATION OF CHANGE OF CIRCUMSTANCES

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					                    HOUSING BENEFIT/COUNCIL TAX BENEFIT



NOTIFICATION OF CHANGE OF CIRCUMSTANCES


WHAT YOU NEED TO TELL US!

If you receive benefit or have applied for benefit you must tell us
about changes in your circumstances.

You must tell us immediately and in writing even if you have
already told another section within the council.

If the change would increase your benefit and you do not tell us
straight away you may lose benefit. If the change would decrease
your benefit and you do not tell us straight away you may have to
repay an overpayment of benefit.

Please give us the date(s) of change and provide documents as
evidence of the amounts and dates.

There are different rules for different people:

If you receive any Guarantee Pension Credit:

You must tell the Pensions Service about all changes other than
those shown below which you must tell the council about.

You must tell the Council about:

 Any changes to your tenancy (but not Council rent)
 Any changes to non-dependants income or occupancy
 Any absence from home likely to exceed 13 weeks

If you receive Savings Pension Credit but not Guarantee
Pension Credit

You must tell the Pensions Service about all changes other than
those shown overleaf which you must tell us about.



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You must tell the Council about:

 Any changes to your tenancy (but not Council rent)
 Any changes to non-dependants income or occupancy
 Any absence from home likely to exceed 13 weeks
 Any change to dependent children
 Anyone coming to live in or leaving the household
 Any change to Child Tax Credit
 Any change to Child Benefit
 Any change to your total savings, investments or capital
  especially if they become more than £16,000 in total. You
  cannot receive Housing Benefit or Council Tax Benefit if your
  savings exceed £16,000.
 Changes to the income and capital of your partner if they are
  not included in your Savings Pension Credit claim

All other Customers

You must tell us about all changes that may affect your benefit.
Some examples of things you must tell us about are : -

              End of Income Support or JSA
              Starting work
              Increases in wages or earnings
              Changes in any amount of savings or capital
              Change of Address (you will need to re-apply at your
              new address)
              Any stays in hospital
              Awards or changes in any state benefit
              Maintenance payments from a former partner
              If anyone comes to live in, or leaves the household.
              Changes in any other income of a household member.

This is not a complete list, if in doubt please contact the
office.

Please send all changes to: -       Selby District Council,
                                    Benefits Section
                                    Civic Centre, Portholme Road
                                    Selby, YO8 4SB
                                    Tel: 01757 292155
                                    Fax: 01757 292158

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HOUSING BENEFIT/COUNCIL TAX BENEFIT


NOTIFICATION OF CHANGE OF CIRCUMSTANCES

Name ......................................................………………..................

Address..........................................................................................

........................................................................................................

Benefit Reference....................................

I wish to report the following change of circumstances: -

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Please use the back of the form if you need more room
Do not forget to tell us the relevant dates and provide original
documents as evidence. We cannot accept photocopies.

PLEASE REMEMBER THAT DELIBERATELY GIVING FALSE
INFORMATION OR FAILING TO REPORT CHANGES OF
CIRCUMSTANCES IS FRAUD AND COULD LEAD TO PROSECUTION.

Where this change leads to a new entitlement for either Housing
Benefit or Council Tax Benefit please accept this as my notice of
intention to claim.

Please sign below: -

Signature................................... Date ………………………


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Description: NOTIFICATION OF CHANGE OF CIRCUMSTANCES