Application For Payment Of Housing Benefit On Two Homes
Please answer all the questions in full. If you give false information, or you do not tell us information that is relevant, you may be prosecuted under the Theft Acts 1968 and 1978 or the Social Security Act 1992.
Application Reason
 I want to claim Housing Benefit on two homes because:

Contact Details
 Your Full Name
 Your Date Of Birth (dd/mm/yyyy)
 Your National Insurance (NI) Number
 Your Contact Address