Discretionary Housing Payment - Lump Sum

Do you receive Housing Benefit payments from Northampton Borough Council, or the housing element of Universal Credit? * Select No Yes

As you are not currently in receipt of Housing Benefit from Northampton Borough Council, you do not qualify to apply for a Discretionary Housing Payment Lump Sum.

You will need your Housing Benefit Reference Number to make an application, please have this to hand before continuing.

This number can be found at the top of all correspondence regarding Housing Benefit from Northampton Borough Council.

If you do not have this number (as you are a Universal Credit claimant) or cannot remember it, you will need to enter 00000000 in the following screen to progress.

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Personal Information:

Housing Benefit Reference Number: *

*** Please enter housing benefit reference number, If you do not have this number or are a Universal Credit claimant please enter 00000000

*** Please enter a valid housing benefit reference number,If you do not have this number or are a Universal Credit claimant please enter 00000000

Name: *

*** Please enter name

Telephone Number: *

*** Please enter telephone number

Email Address:

*** Please enter Email Addressr

Your Post Code: *

*** Please enter your post code

*** Post code not valid for Northampton Borough

*** Post code not valid

*** No Results Found

Find Address

Select Property: *

*** Please select a property

Address: *

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Section 1 of 3 - Personal Circumstances:

Are you applying for Removal Costs ? * Select No Yes

How much ? *

*** Please enter amount

Are you applying for a Security Deposit ? * Select No Yes

How much ? *

*** Please enter amount

Are you or your partner receiving or have made a claim for Universal Credit? * Select No Yes

Please give your reasons for making this application. *

*** Please enter details

Please give your reasons for your proposed change of address. *

*** Please enter details

Please give details on where else you have tried to obtain financial support for your move and why these have not been successful. *

*** Please enter details

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Section 2 of 3 - Additional Information:

Please give any extra details on why you are applying for a Discretionary Housing Payment lump sum.

*** Please enter details

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Section 3 of 3 - Declaration:

Before you submit this form please ensure you have read the form very carefully to make sure you have filled it in to the best of your knowledge.

I declare the information given in this form is true and complete.

I understand that if I give incorrect or incomplete information Northampton Borough Council may take action against me.

I authorise Northampton Borough Council Benefit Services to verify the information they consider necessary.

I understand it is my responsibilty to notify Northampton Borough Council Benefit Services of any change to the details of this form immediately.

I agree to pay back any overpayment of Discretionary Housing Payment that has occured as a result of my failure to report a change in my circumstances.

I Accept * Select No Yes

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Processing:

Confirmation: Application received

Housing Benefit Reference Number:

Call Reference:

Email Address:

Send me an email receipt

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Telephone Number:

Send me a text receipt

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