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If you do not agree with a decision we have made about your claim for Housing Benefit or Council Tax Support (or both), you can use this form to ask us to explain our decision or to ask us to look at our decision again. We must get this form within one month of the date of your decision letter.
You can use this form to:
All fields marked with * must be completed.
If 'Yes' please fill their details below.
You may upload up to three documents to support your appeal. Each document can be a maximum of 10 megabytes (10mb) in size. We accept the following document types:
Please help us to make sure that all groups in the community are claiming their full entitlement to benefit by filling in this part.
It will not affect your claim in any way if you do not answer. You do not have to fill in this part, but it will help us if you do.
Your responses will be kept confidential and any information published will be made anonymous. No information that can identify you, your home or your household will be passed to any other organisations without asking you first.