Application for Discretionary Housing Payments

Where there is a shortfall between the amount of Housing Benefit we are awarding and your rent, Discretionary Housing Payments is a scheme for claimants who are caused exceptional hardship due to this shortfall. These payments are at the discretion of the council, are subject to very limited funds, and are usually only intended for short periods of time.

To apply, please fill in this form, giving any details you think could help your claim.

Are you the claimant or a representative of the claimant?*

Claimant

Representative

Are you in receipt of Council Tax Reduction?*

Yes

Title*

First name*

Last name*

Phone Number

Email address

Please re-enter email address

Preferred contact method

Phone

Date of birth*

National Insurance Number