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* Mandatory question please answer
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.
*** Please enter housing benefit reference number
*** Please enter a valid housing benefit reference number
*** Please enter name
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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.
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