Download this form if you want to print it out and fill it in by hand.
Alternatively, you can complete and submit it online, using our Changes you need to tell us about if you claim benefits form.
What you'll need to fill in this form
You'll need to provide proof of your:
- earnings - if you are employed or self employed
- Benefits and all other income
- capital, savings and investments
- childcare costs
Find more information on what you need on page 3 of the form.
To submit the form, email it to email@example.com or post it to Brighton & Hove City Council, Benefits, PO Box 2929, Brighton, BN1 1PS.