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BCON/NINEDAY
CICS Account and case numbers: 01623514 01623514

Revenue Information Please write in black ink.

Mr Cordell CICDWP/6/TMW
109 Burncroft Avenue 01623514 01623514 1: Details of income from
Enfield
EN37JQ Are you working? Yes No
020 8379 3798
020 8379 5191 £
020 8379 4998 If Yes, how much are you paid each week?
12 June 2007
Is your partner working? Yes No
If Yes, how much is your partner paid? £

BCON/NINEDAY

How many hours do you work? You
Dear Mr Cordell
Housing and Council Tax Benefit Your partner

The Department for Work and Pensions has told me that your Income You must enclose your last 5 weeks / two months consecutive
Support ended on 28th April 2007. As you have not told me of this change, payslips. If you have just started work and cannot provide any or
I have suspended your benefit. not enough of them, please also provide your employment
contract or a letter from your employer showing your pay details.
If you are on a low income, you may still be entitled to some benefit.
Please use the enclosed form to give details of all the income you and your We may need to contact your employer if we require further
partner have received since 29th April 2007. Please ensure that all questions information.
are answered. We cannot pay you any more benefit until this is Can we contact your employer? Yes No
received. .
If YES, please give their name, address and so we can contact them direct. If
If your circumstances change, you must tell us in writing immediately. If the you do not give this may delay your assessment. Tel-phone number re us
change means you get more benefit, you must tell us about it within one
month. If you do not, the increase will only start from the date you tell us of permission
the change. If the change means you get less benefit, it will start from the
date of the change. If we pay you too much benefit because you did not tell
us about a change, or told us afterwards, you must pay the money back.

You do have up to a month to supply the information, but the longer you
leave it, the longer it will be before you receive any more benefit. If you do not
return the form and supply the information within one month of the date of
this letter, we will have to cancel your claim.

Yours sincerely

Nineday Team

X:\CICDWP.dol 27 X:\CICDWP dot