Our Privacy Statement.
Your Name:
Address:
Postcode:
Telephone Number
Email:
National Insurance Number (if known):
Date of Birth:
Do you get Income Support or Minimum Income Guarantee? Yes No
Do you get Housing Benefit? Yes No
Do you get Council Tax Benefit? Yes No
Name of person who you provide care for:
Do they live with you? Yes No
By clicking the 'submit' button below, you consent to the Department for Work and Pensions supplying details of your claim to Durham Welfare Rights Team.
They will consider backdating your claim for the maximum allowed by law.
Alternatively, you can print this page, complete your details and send the form to:
Welfare Rights Team Rivergreen Centre Aykley Heads Estate Durham DH1 5TS
Telephone: 0191 370 8787
