Fillable Request to Backdate Your Claim for Benefit (Stockton-on-Tees Borough Council)

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Request to Backdate Your Claim for Benefit (Stockton-on-Tees Borough Council)

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The Request to Backdate Your Claim for Benefit (Stockton-on-Tees Borough Council) form is 1 page long and contains:

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Country of origin: UK
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www.stockton.gov.uk/housingbenefit
Request to Backdate
Your Claim for Benefit
Revenues & Benefits Service, PO Box 410, Stockton on Tees, TS23 2YD
Helpline: 01642 393829Minicom: 01642 605569
Housing Benefit and Council Tax Support
Please fill in using black ink
Claim Number
Name
Address
Date you request benefit be backdated to
Reasons why you did not claim on this date up until the date the claim was made
Signature
Date
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Request to Backdate Your Claim for Benefit (Stockton-on-Tees Borough Council)

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Completed 4 December 2020

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