Request for advice from the Welfare Rights Service
Mandatory fields are identified with
Referral Details
Personal Details
Confirmation
Receipt
Referral Details
Please check relevant boxes:-
I want to make a new
claim for this benefit
I want help with a
review of the existing
award of this benefit
I want help with a
renewal claim for this
benefit
I have received a form to
complete and require help
with this
I want to appeal
a decision
Pension Credit
Attendance Allowance
Disability Living Allowance
Personal Independence Payment
Universal Credit
Carer's Allowance
Income Support
Housing/Council Tax Benefit
Working and Child Tax Credits
Employment and Support Allowance
