Online forms: Discretionary Housing Payments application

This form has a maximum of 18 pages

To help us to decide whether we can give you any extra help you will need to tell us more about your personal circumstances and how you spend the money that comes into your household. Please complete the sections of this form which apply to you and your family and attach any documents which may support your claim.

You can learn more about Discretionary Housing Payments.

Find out more

Please note

You must complete this form within 45 minutes of starting it. The form asks for information about your housing and personal circumstances, as well as details of your income and spending.

We would suggest collecting the relevant information together before starting the form. This should help you complete the form quickly.

You can also attach evidence in support of your claim. This can be a good quality scan or photograph or other digital file.

If you receive Universal Credit, you must provide your award letter and proof of rent for your home. Please have these ready to attach to this form before you start.