Backdated benefit form
Please use this form to request backdated benefits.
A Benefit claim can only be backdated a maximum of 1 month for Housing Benefit but is unlimited for Council Tax Support for working age customers. This is providing you can give a good reason why you did not apply for the benefit sooner.
A maximum of 3 months for state pension credit age customers, this backdate is automatically granted provided that you qualify for benefit based on your income and capital at the time.
Each case will be reviewed on an individual basis.
For more information on backdated benefits please see our Backdated benefits page.
This form is three pages long and could take up to 10 minutes to complete.
All fields marked with an * are required.
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