Request for advice from the Welfare Rights Service

Mandatory fields are identified with Mandatory fields identified with this symbol
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
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