JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request a callback from the Adur & Worthing Councils Customer Services Team about your Housing Benefits/Council Tax Support
This is a trial service, please mention any feedback regarding how you found it to work to the advisor when they call.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
This service is not intended for urgent matters, callbacks will be within 3 working days. We will try twice to ring you (at different times).
My claim number is: (please find this at the top right of your award letter under our contact details)
*
Your answer
My name is: (first and last name please)
*
Your answer
What is the first line of your address?
Your answer
Whats your postcode?
Your answer
We can only speak to the claimant(s) listed on our system. If you would like someone else to speak to us you will need to fill out a form that confirms this. Please tick this box if you would like us to send you a form for this:
Please send me a 3rd party authority form.
Sometimes it is easier and quicker to email documents, if you are happy for us to send documents to you in this way please give us your email address (not essential):
Your answer
I would you like you to call me about...
*
My next Housing Benefit Payment
A change in my circumstances - financial
I think some of the figures in my assessment are not right
A change in my household makeup
I have had a new Council Tax bill I wasn't expecting
I don't understand a letter you have sent me
Please tell us a bit more about your query - the advisor will review the case before calling so this will help them resolve your enquiry:
*
Your answer
My telephone number is:
*
Your answer
Is it better to call you in the morning or afternoon? We cannot say exactly when we will call:
*
Mornings: 10am to 12pm (we cannot call out before 10am as we are very busy then)
Afternoons: 2pm to 4pm (we cannot call out between 12pm and 2pm as it is very busy at lunchtime)
Please visit
www.adur-worthing.gov.uk/privacy-notice
for further information on how we collect and use your data
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Adur & Worthing Councils.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report