End of Income Support, Jobseekers Allowance (Income Based), Pension Credit or Employment Support Allowance (Income Based)

Privacy Statement

The personal information you supply will be used to update and re-assess your Benefit entitlement. In order for SSDC to do this you will be required to supply certain information – without this information we will not be able update and re-assess your claim. The law allows us to use your personal information for this purpose as it is necessary for us to perform our statutory duties of administering benefits.

Before progressing please refer to our Privacy Notice which explains in more details how we will use your personal information and how we protect your privacy. It also provides you details of who you can contact if you need to speak to someone about your Privacy.

Claimant Name and Address

Title *
Forename *
Surname *
Address of claim *
Claim Reference - leave blank if unknown (anything entered here will appear in letter).

Benefits

Which benefit has ended? *