Local Welfare Fund claim form (v2)

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If you need help you may be able to receive a one off emergency payment to help towards utility bills or food.  

A hardship award is usually an e-voucher payment for electric/gas utility costs or food or in certain circumstances a direct payment to you of about 60% of your standard benefit amount depending on your circumstances and household and the budget available, i.e. a single person may be able to receive a one-off award of £50.  

When considering making an award we will look at your household income and situation using our and DWP data systems and the information you give us to determine whether we can make an award.

Awards are not made to cover rent or replacement white goods or furniture, pay debts or to top up benefits.

When applying, provide as much information as possible and complete all mandatory fields marked with a *. 

Please note that it may take up to a week for your application to be processed due to the high demand, please do be patient and we will respond as soon as we can.  The operation of the scheme is at the Council's discretion and applicants do not have an automatic right to an award  

Choose an Option
if you don’t have one please write none in the box

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E.g. Asylum seeker, no recourse to public funds

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Tick all that apply

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Do not include people you live with such as joint tenants/ friends living together.

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If an award is made it will usually be an e-voucher for gas/electric or food. 

In some circumstances it may be a direct payment either directly to your bank account (takes up to 5 working days to process), or a code sent to your mobile phone to go to a PayPoint and collect the money. 

Once you have chosen your preferred payment method you cannot change it.

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Declaration:

By submitting an application you confirm that the information you provide is accurate and correct. 

You also confirm your agreement for Camden Council to retain your data under Data Protection Act 2018. The Council is regulated by the General Data Protection Regulation (GDPR) 2018 and the Data Protection Act 2018 and will manage the personal information collected on this form for the purposes of delivering its services to you. Your information may be shared internally and with external partners purely for these purposes and will not be shared with any other organisations unless required to do so by law or for the purposes of prevention and detection of crime and/or fraud. We may contact you using the details you provide, in connection with this form and the information you supply. Your personal information will only be retained for as long as is necessary, and you may request a copy of the information we hold about you.