Make a payment plan to stop your Housing Benefit overpayment being deducted from your wages

Title (for example Mr, Mrs, Ms, Miss) * *

First name * *

Last name * *

Email address * *

Help: We will use your email address to send the receipt of your form, including the form reference number. This may include personal data. We will also use your email address to contact you about your benefit claim and council tax account.

Would you like to receive your housing benefit, council tax support notifications and council tax bills by email? * *

Yes

No

Help: You can receive your housing benefit, council tax support notifications and council tax bills by email rather than post. We will send all future housing benefit and council tax support notification letters and council tax bills to the email address you have given above. If you change your email address you must let us know straight away. You can opt out of this at any time at canterbury.gov.uk/paperless

Contact phone number * *

Housing Benefit or Council Tax Support reference number * *

National Insurance number * *

Address * *

Postcode

Make a payment plan to stop your Housing Benefit overpayment being deducted from your wages

About you