Benefit - Appeal against Housing Benefit and/or Council Tax Benefit decision
Please complete all relevant boxes on the form. You can get help from an advice centre or a solicitor.
• Please state the reasons for your request. This is important because the tribunal does not have to look at anything you do not mention.
• When completed print the form, sign and return to the address given within one month of the date on the decision letter.
• Make sure you have said on this form why you do not agree with the decision.
• Take or send this form to us.