Application to reconsider an earlier incomplete benefit claim

Step 1 of 4

Application details

This form should only be completed in the following circumstances.

If you have been informed that an earlier claim you submitted has not been processed, because information we had requested was not supplied at the correct time, whereby you would like your case to be looked at again.

Please be aware that you will still have to provide the supporting information not previously provided, and that any such documents and/or photo's can be uploaded at the end of this form.

Your benefit claim reference number as shown on your award letters

Please input the correct housing benefit claim reference number as it will help us to process this form more quickly.

Your title

Your first name

Your last name

Your date of birth

Add your date, for example 27 3 2007 or use the calendar picker button

Your national insurance number, this is nine characters long in the following format, AB123456C

Your email address

If you include an email address a copy of this form will be emailed to you.

Your daytime contact telephone number. Please include the area code.

The address where you are claiming the reconsideration.Enter the postcode and search.

Select the address from this list

The full postal address of where you are claiming the reconsideration

It is up to you to demonstrate that you have exceptional circumstances that would explain why the supporting information we had requested, to enable us to determine your claim, was not supplied at the appropriate time.

You were previously advised that failure to provide the information required could result in you losing benefit.

Please fully state your reasons why we should reconsider your earlier claim