If you’re housebound or have a vulnerable person in your household you can use this form to ask for help with your benefits or someone else can fill it in on your behalf.
Our Local Support service can:
- check if you're getting all the benefits you're entitled to
- help you to claim benefits
- help you deal with changes that affect your benefits
- help with other benefit enquiries
Information about data collected via online forms
Start a new form
Choose this option to start a new form - click on the Start button to get going.
Continue a saved form
Choose this option to retrieve a previously saved form - enter your reference number from last time and click Continue to carry on