Information to gather for benefit check

Benefit check.

1. Does client have a partner_______________________.

2. Client’s DOB___________________________________.

Partner’s DOB__________________________________.

3. Client’s children:

Number_________________.

Ages____________________.

Children’s DLA________________________.

4(a)Savings/ capital______________________________.

4(b) Client’s work.

Hours__________________________.

Gross pay_______________________.

Net pay_________________________.

Childcare costs____________________.

5. Partner’s work.

Hours________________________.

Gross pay_____________________.

Net pay_______________________.

Childcare costs._________________.

6(a)Cl’s gross income.

2016/17________________________.

2015/16________________________.

6(b) Cl’s partner’s gross income

2016/17_________________________.

2015/16_________________________.

7.Cl’s other income.

_______________________________.

8. Partner’s other income.

_______________________________.

9. Cl’s benefit income.

________________________________.

10. Partner’s benefit income.

_________________________________.

11.Rent

____________________________________________.

11(a). Outstanding mortgage.

______________________________________________.

12. Council tax band.

________________________________________.

13 Council tax liability.

_________________________________________.

14 Non-dependents.

_________________________________________.

_________________________________________.

_________________________________________.

15 Spare bedrooms.

__________________________________________.