Microsoft word - direct payment form for thanet aw.doc
Local Housing Allowance Direct Payment Application Form
Under the Local Housing Allowance (LHA) scheme, Housing Benefit is usually paid direct to the claimant and the claimant will be responsible for paying their rent to the landlord. Under LHA, claimants cannot simply choose to have their benefit paid to their landlord.
However, the Council has discretion to pay benefit direct to the landlord if we consider that the claimant is likely to have difficulty managing his/her financial affairs or is unlikely to pay his/her rent.
The Council will also pay benefit direct to the landlord if:
• it is proved the claimant is 8 weeks or more in arrears of the amount he/she is liable to pay
the landlord as rent, except where it is in the overriding interests of the claimant not to make payment to the landlord or
• the claimant is having deductions from Income Support/Jobseeker’s Allowance to pay off rent
If you are the claimant’s representative or landlord and believe payments should be made direct to the landlord because one or more of the above statements apply, please complete this form and return it to us at the address shown below, together with supporting evidence. The ‘Safeguard Guidelines’ document gives details of how the application will be dealt with. You can download a copy of this from the Thanet District Council’s webpage on www.thanet.gov.uk/benefit or ring our Revenues & Benefits Service on 01843 577552 to request a paper copy. Please note: if you are the claimant, do not complete this form. Simply phone our Revenues & Benefits Service Team on 01843 577552. They will arrange for you to see one of our benefits officers.
Email: [email protected] Fax: 01843 577532
If there are any boxes that aren’t relevant to you or you don’t know the answer to, please write ‘not relevant’ or ‘don’t know’ as applicable. Claimant's full name and address: Your name and relationship to the claimant (e.g. mother, friend, social worker, doctor, landlord etc.): Your address, telephone number and email address: Reason(s) why you consider payments should be made to the landlord (Please provide all relevant details): If rent arrears have accrued − what amount is outstanding and what period does this cover? Has the claimant had previous problems maintaining rent payments? (Please provide details) Has the claimant received help from a welfare or advice agency e.g. Citizens Advice Bureau? (Please provide details) Is the claimant having deductions made from their income to repay other debts? (Please provide details) How long do you think payments need to be made to the claimant’s landlord? If you believe this should be a continuous arrangement, please give your reasons: 10. Declaration
The information given is true and correct I believe it to be in the best interest of the claimant to make payments direct to
I have read and understood the declaration: Representative’s or landlord’s Representative’s or landlord’s name: signature: It is most important that you now tick (9) overleaf to show which items of evidence you are providing in support of this application and ensure that you supply it. Safeguard Grounds Suitable sources of Evidence Learning disabilities Medical conditions Cannot read or speak English
Letter from support organisation stating that arrears/debts have occurred as a result of not
Addiction to drugs, alcohol or gambling Claimant has experienced recent changes that has meant they need additional support in managing their financial affairs Severe debt problems Tenant has history of homelessness
Letter from Council's housing advice officer or
homelessness team Letter from advice/welfare agency
Letter from landlord showing full details of
Housing Benefit – BACS Payments
To have your Housing Benefit paid direct to your bank or building society account by BACS transfer, please fill in this form.
Your full name Your address and postcode Are you a: Landlord? F Tenant? F Name of your Bank or Building Society Address of your Bank or Building Society What name is the account in? Bank Sort Code Bank account number Building Society Sort Code Building Society account number Signed: _____________________________________ Date: _____________________
Unfortunately, we are not able to pay into some accounts, such as Individual Savings Accounts (ISAs), Post Office Card Accounts and some Savings Accounts. If you are not sure about the account you want to use, please ask your bank or building society.
If you would like to receive your benefit notifications (all customers), and your payments schedules (if you are a landlord), by e-mail, please provide a valid e-mail address below.
Please return this form to:
Revenues & Benefits Service Thanet District Council PO Box 9, Cecil Street Margate Kent CT9 1XZ
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