• Self-Employed Earnings Form

  • Please complete this form if you are self-employed and applying for Housing Benefit and/or Council Tax Reduction

  • About yourself

  • Your contact details will be used to help resolve any questions relating to the completion of the form and stored on your file in line with the Council's GDPR and privacy policies.

  • About your business

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  • About the business income

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    • income from business section 4 start 

    • Income from the business

      You need to complete this section because you told us that you do not have any completed accounts for the last financial year or that you have not been trading for a full year.

    • income from business section4 end 
    • Section 5 Start 

    • Business Expenses

       

      YOU MUST ONLY INCLUDE AMOUNTS THAT RELATE SOLELY TO THE BUSINESS e.g. Telephone – you must apportion the total cost of calls between private and business use and only enter the amount for business use.


      YOU MAY BE REQUIRED TO PROVIDE PROOF OF ANY EXPENSE ITEMS LISTED.   THE HOUSING BENEFIT OFFICE WILL CONTACT YOU IF NECESSARY

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    • Section 5 end 

    • Other outgoings

  • Declaration

  • Please read this declaration carefully before you sign and date it.

     


    I understand the following.

     


    • If I give information that is incorrect or incomplete, the Council may take action against me.


    • You will use the information I have provided to process my claim for Housing Benefit or Council Tax Benefit, or both.  You may check some of the information with other sources within the Council, the Rent Officer, other Councils and Benefit Authorities.


    • You may use any information I have provided in connection with this and any other claim for Social Security benefits that I have made or may make. You may give some information to other Government organisations, if the law allows this.


    I know I must let the Revenues and Benefit Section of the Council know, immediately in writing, about any changes in my circumstances, which might affect my claim.  If I do not tell the Council about changes in my circumstances and too much benefit is paid, I will have to pay it back.

  • Privacy Statement

    Details of Surrey Heath Borough Council’s Privacy Notice can be found here

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