Report if there has been a permanent or temporary change to the number of people in your household (you can also use this if your household income has changed as a result of someone moving in or out)

Type of change: *

You will need to complete a separate form for each person who has joined the household.

Full name of person who has moved in: *

Are you reporting the birth of a child? *

You must provide a birth certificate. You can upload a copy on this form.

Previous address: *

Date they moved in: *

Has the person moving in been added to the tenancy agreement as a Joint Tenant? *

Is the person who has joined the household a relative? *

What is their relationship to you? *

What capital (eg savings) does the person have? Enter None if they do not have any: *

We cannot amend your claim until we have received all supporting documents. Your claim will then be assessed as quickly as possible - please refer to the following web page for current processing times .

Do you want to upload a document? *

How many documents do you want to upload? *

Please note, the maximum total size you can upload is 25Mb.

For more information about the type of evidence you can provide please see What proof do I need?.

Please select the file to upload: *

Your contact details (the details of the person completing this form)

Title: *

First name: *

Surname: *

House name/number:

Postcode:

Address: *
You can enter the house name/number and postcode above to populate this field.

Phone number (enter NONE if you do not have a contact phone number): *

Email address (enter NONE if you do not have an email address: *

Additional information:

The claimant's details

Please confirm which applies to you: *

First name of the claimant: *

Surname of the claimant: *

House name/number:

Postcode:

Address: *
You can enter the house name/number and postcode above to populate this field.

What is the date of birth of the claimant: *

Benefit Claim no - this is not mandatory but it will help us process your query more efficiently if you can provide it:

Universal Credit

Torbay is now a ‘full service’ Universal Credit area. This means that if you receive Housing Benefit (HB) it will stop if you:

New job or number of hours worked ends Jobseeekers Allowance (JSA) Income Support (IS) or Employment Support Allowance (ESA IR) and child tax credits is not in payment
Receiving Working Tax Credits (WTC) and work finishes or is reduced to less than 16 hours per week
Receiving IS or JSA and you become unfit to work or look for work
Receiving Employment Support Allowance (ESA) and you are now able to work or look for work
Couples separating where Tax Credits is in payment as a couple
Receiving Income Support and youngest child reaches age 5 or leaves the household
Become responsible for a first child in the household

Have you reported one of these changes? *

As you have reported one of the above changes your Housing Benefit will stop and you will need to make a claim for Universal Credit.

We still need you to submit this form so that we can take these changes into account for your exisitng claim to Housing Benefit/Council Tax Support.

After this form has been submitted we will provide further information about how to make a claim Universal Credit.

Data Protection

The information you have provided on this form will be used to deal with your request by the relevant department. We may pass your details on to contracted third party service providers. We will store a copy of your completed request as a backup for 12 months.

If you would like to know more about how we use your information and how you can exercise your information rights please see our privacy notice.

I understand the following:

If I give information that is incorrect or incomplete, you may take action against me. That the information I have provided will be used to amend my claim
You may check some of the information with other sources as allowed by the law.
I have read, or had read to me, and understand the information on this form.

I know I must let the council know about any change in my circumstances which might affect my claim.
I declare the information I have given on this form is correct and complete.

Changes you must tell us about- tell us straight away if:

any of your children become 18 years old
anyone moves into or out of your home (including lodgers and subtenants);
you move; or
anything you have told us about changes

If you phone to advise us of any changes, you may be asked to supply further details in writing.

You must make sure that you tell us about these changes. Don't rely on someone else to pass the message on.

Failure to provide this information within 21 days could lead to the issuing of a Penalty Notice for £70.00.

Please tick to confirm you accept these conditions.