Page 94 - tmp

BOON / NINEDAY
CICS Account and case numbers: 01623514 01623514

2.

Did / do you or your partner receive any other Yes
income or benefits, such as state retirement
pension, tax-credits or incapacity benefit? .

If Yes, please list them below and provide proof

£
Income Support 120.00

£

£

Have you applied for Working Tax Credit?

If Yes, when did you apply

3

Have you/your partner reapplied for

Income Support YES
If YES, when did you reapply 16 July
2008
If you have reapplied for benefit, it may not be
continuous from the date that your previous
entitlement ended. Therefore, we will not beable to
pay you more benefit unless we have proof of your
income during these periods.

E:\TempWCICOWP.dol
3