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Click + to add childs date of birth.
Click + to add date of birth and relationshop to you.
Tell us about all income you and your partner receive. Please ensure that this is as accurate as possible so that we can make an informed decision on your current circumstances.
Click + to add an Income type / Employer name.
Please tell us about any capital, savings or investments you have. If you have a partner you will also need to include any capital, savings or investments they have.
Please tell us about your (and your partners if you have one) regular household outgoings
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Debts - Please list any outstanding debts – examples of debts include gas, electricity, water rates, loans, DWP loan repayments, credit union payments, credit/store cards, catalogue payments, hire purchase agreements, Court Orders’
Click + to add repayment amount.
I understand the following:
I declare that the information I have given on this form is correct and complete. I will tell you immediately if any circumstances change
Please tick this box if you do not want us to use the information on this form to tell you about your possible entitlement to other benefits, discounts, grants and council services.
Are you struggling with debts and need help to resolve them? Click the box if you would like us to refer you to the Citizens Advice Bureau for debt advice.
We can refer you to our partner agency, Liverpool Citizens Advice Partnership (LCAP) who can provide you with support with managing your money and paying your bills. Click the box if you would like us to refer you to LCAP.
If you are worried about losing your home or thinking about moving and want advice, the Council's Housing Options Team may be able to help. If you would like us to send details to the Housing Options Team please click the box.
Please enter your email address and council tax reference number.