Tell us about a change in circumstances for benefits

Please complete this form to tell our benefits team about a change in your circumstances that may affect your benefit.

You can find out more on our benefit changes page.

If you would like help filling in the form, please contact benefits@rushmoor.gov.uk or telephone 01252 398914.

Privacy notice

Read about the information you send us and what we use it for in our privacy notice.

Your details

Benefits claim number (if known):

First name: *

Last name: *

Email:

Phone:

Mobile phone number:

Your current address

Address: *

Postcode: *

Please tell us of the change since your last application

Date of change *

(dd/mm/yyyy)

Su	Mo	Tu	We	Th	Fr	Sa
						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

Details of change *

If your income or accommodation has changed, you must provide proof. We will contact you if we require more information.

We produce a regular email newsletter to help keep you informed about the council's news, our services, and events. You can also find out about council consultations. In addition, our leader has his own email newsletter that you can sign up to receive.

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Yes

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Benefits

01252 398 914 benefits@rushmoor.gov.uk

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Tell us about a change in circumstances for benefits

Privacy notice

February 2020

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