Online Benefit Referral Form


Who are you reporting for benefit fraud?

Surname:
Forenames:
House Number:
Street:
Town:
Postcode:

How do you know them:
How do you know they are claiming benefits:
What benefits are being claimed:

Sub-letting the property

Do you know the name of the person who the claimant is sub-letting the property to?	Yes	No
Surname of person the property is let to:
Forenames of person the property is let to:
*
How long has the property been sub-let?	Years	Months

Please use the following boxes to give a description of the person the property is let to:
Height:
Age:
Build:
Hair Colour:
Hair Style:
Any Distinguishing features? (tattoos, piercings, facial hair):
Do you know where the claimant is now living?	Yes	No
House Number:
Street:
Town:
Postcode:

*
How much rent is being charged?

Please enter the code shown on the right. This prevents automatic submissions of this form.	If you don’t see a number please check you have Javascript Enabled

If you think a friend would like to use this application, please use our 'send to a friend' form

All personal details are held in accordance with the councils Data Protection Policy - Privacy Disclaimer