Are you or your partner currently claiming any benefits other than Child Benefit? |
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If yes, have you or your partner claimed Income Support, Income based Jobseeker’s Allowance, or Employed Person’s Allowance? |
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If yes, have you claimed Incapacity Benefit or contribution based JSA? |
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If you answered yes to any of the above 3 questions, please list the benefits you and/or your partner are receiving and the name each claim is in. | |