Part 10: How we pay you continued
Please tell us all 6 numbers,
for example 12-34-56.
Full name of bank or
Most account numbers are 8 numbers
long. If your account number has
fewer than 10 numbers, please fill in
the numbers from the left.
Building society roll or
If you are using a building society
account you may need to tell us a
roll or reference number. This may be
made up of letters and numbers, and
may be up to 18 characters long.
If you are not sure if the account has
a roll or reference number, ask the
Name of the account holder
Please write the name of the account
holder exactly as it is shown on the
chequebook or statement.
You may get other benefits and
entitlements we do not pay into
an account. If you want us to pay
them into the account above,
please tick the box.
About the account you want to use
l You can use an account in your name, or a joint account.
l You can use someone else’s account if
– the terms and conditions of their account allow this, and
– they agree to let you use their account, and
– you are sure they will use your money in the way you tell them.
l You can use a credit union account. You must tell us the credit union’s account details.
Your credit union will be able to help you with this.
l If you are an appointee or a legal representative acting on behalf of the claimant,
the account should be in your name only.
Please tell us your account details below.
It is very important you fill in all the boxes correctly, including the building society roll or
reference number, if you have one. If you tell us the wrong account details your payment
may be delayed or you may lose money.
You can find the account details on your chequebook or bank statements. If you do not
know the account details, ask the bank or building society.
How often do you want us to
pay your benefit?
Every 4 weeks
Every 2 weeks