*test area *test area Important update Text of issue……… Help with living costs form Request help with finances Please tell us what you're struggling to pay for Food Rent Heating and Electric Save on household bills Mobile data Other Save on household bills We have teamed up with Pocket power who can help you save money on your household bills and move you onto cheapest deals. You will receive a phone call from someone at the Pocket Power team (they will call from a London based number) at the time and date you have selected. Please click on the link before the make a referral today. Please specify what you mean by other You may qualify for one or more £49 energy vouchers. To apply for this please answer these questions:Who is your energy provider? How do you pay? Pay as you go meter Smart pay as you go meter Direct debit Other Please take a photo of your meter showing your current balance and upload it hereMax. file size: 120 MB.Age 16-24 25-34 35-49 50-64 65-74 75+ Ethnicity Asian, Asian British or Asian Welsh Black, Black British, Black Welsh, Caribbean or African Gypsy, Irish Traveller or Roma Mixed or multiple ethnic groups White Other ethnic groups Do you receive any means-tested benefits? Yes No The means-tested benefits are: Universal Credit. Pension Credit. Housing Benefit. Council Tax Support. Tax Credits (Child tax credit and Working Tax Credit. Income -based jobseeker’s Allowance. Income-related Employment and Support Allowance and Income support.Please upload a photo of your entitlement letters for any means-tested benefitsMax. file size: 120 MB.The means-tested benefits are: Universal Credit. Pension Credit. Housing Benefit. Council Tax Support. Tax Credits (Child tax credit and Working Tax Credit. Income -based jobseeker’s Allowance. Income-related Employment. Support Allowance and Income support.Are you in rent arrears? Yes No Do you consider yourself to have a disability? Yes No Employment status Full-time work Part-time work Retired Unemployed Full-time education Other Is there anything you need right now that you can’t afford or anything else you’d like to tell us?(Required)Your full name(Required) Address(Required)Email(Required) Phone(Required)How many people are in your household? How would you like us to contact you? Email Text Phone Post PhoneThis field is for validation purposes and should be left unchanged. Δ
