Council Tax Support Hardship Payment

Do you have a Council Tax Support Claim?Yes No

What is your Claim Number?

Council Tax support number should not start with either number '5' or number '6'

This can be found on your Council Tax Support notification letter.

Can anyone else help you make your payments?

Please select one of the option.

Yes No

Unfortunately from the answers you’ve provided you don’t qualify for a Council Tax Hardship Payment

But to check what other benefits you may be entitled to, go to the Council Tax Support Page

Unfortunately from the answers you’ve provided you don’t qualify for a Council Tax Hardship Payment

But to check what other benefits you may be entitled to, go to the Benefits Calculator

Do you have more than £3000 in savings?

Please select one of the option.

Yes No

Unfortunately from the answers you have provided you don't qualify for a Council Tax Support Hardship payment

Why are you making an application for Council Tax Support Hardship?

What financial year are you making Council Tax Support Hardship application for?

Do you have future change in your income that you have not reported?Yes No

Please provide details of the change

What steps have you taken to address your financial hardship?

If you cannot take any steps, you must let us know why you can't.

How long do you expect your financial hardship to last?

You must tell us about these changes by emailing Revs@Enfield.gov.uk with the details

Your Details

Please search for the individual by either using first name, last name, or postcode.

In case the citizen would like to remain anonymous, please tick the "I would like to remain anonymous" checkbox.

I would like to remain anonymous

Customer search

First name

Must be 1 letter or more

Last name

Must be over 2 characters

Postcode

Must be an Enfield postcode

b

Object description

First name

Please enter a first name

Last name

Please enter a last name

Email address

Please provide a valid email address

Phone number

Enter at least 10 digits with no spaces

Please enter a phone number with digits only, at least ten digits and no spaces

To proceed, you will need to update your information in My Details. Once updated, please start the form again. You can find help in our Guide to Enfield Connected.

Address

Please provide an address

Please search for the address using a Postcode (if known) or Street name (or both)

Please provide an address by searching for a property below.

Property search

Postcode

Must be an Enfield postcode

Street name

Please fill the street name to search

b

Object description

Have you found the correct address in the list above?

Please select one of the options

Yes No

Please enter your address below

UPRN

Flat / building name / number

Please enter a flat / building name / number

Street name

Please enter a street name

Town

Please enter a town

Postcode

Please enter a postcode

Customer Address Placeholder

txt_temp_cust_info_uprn

txt_temp_cust_info_street_number

txt_temp_cust_info_street_name

txt_temp_cust_info_town

txt_temp_cust_info_postcode

Household Details

Do you have a partner living with you?Yes No

Name of Partner

How many children do you have living with you?

Other than your partner, how many adults live with you?

Does any member of your household have a physical or mental health condition or illness expected to last 12 months or more?Yes No

Your regular outgoings

The following outgoings are ones we take into account when assessing financial hardship:

Do you have a mortgage?Yes No

How much do you pay for your mortgage?

Please enter the amount in pounds and pence eg. 37.50 without '£' symbol

Please enter exact amount incl. pence i.e. 37.50

Are you in arrears? If so How much?

If you have arrears Please enter exact amount incl. pence i.e. 37.50, otherwise please enter 'No'.

How frequently do you pay your mortgage?

How many bedrooms are in your property?

Rent Payments

Are you paying rent?Yes No

How much rent do you pay?

Please enter the amount in pounds and pence eg. 37.50

Are you in arrears? If so How much?

How frequently do you pay rent?

How many bedrooms are in your property?

Fuel Payments

Are you paying for gas?Yes No

How much do you pay for gas?

Please enter the amount in pounds and pence eg. 37.50

What is the payment frequency for gas?

Are you paying for electricity?Yes No

How much do you pay for electricity?

Please enter the amount in pounds and pence eg. 37.50

What is the payment frequency for electricity?

Do you pay for water rates?Yes No

How much do you pay for water rates?

Please enter the amount in pounds and pence eg. 37.50

What is the payment frequency for water rates?

Do you pay for other fuels?Yes No

How much do you pay for other fuels?

Please enter the amount in pounds and pence eg. 37.50

What is the payment frequency for other fuel?

Please provide details of the other fuels

Other Payments

Do you have any disability related expenditure?Yes No

How much do you pay?

How often do you pay this?

Please provide details of your disability related expenditure i.e. is it for a Carer or to help you with your mobility?

Are you paying for a TV licence?Yes No

How much do you pay for a TV licence?

Please enter the amount in pounds and pence eg. 37.50

Do you pay travel costs? e.g. travel to workYes No

How much do you pay for travel costs?

Please enter the amount in pounds and pence eg. 37.50

How often do you pay this?

Are you making any loan repayments?Yes No

How much are you paying in loan repayments?

Please enter the amount in pounds and pence eg. 37.50

What is the frequency of the loan repayment?

Are you paying any court fines?Yes No

How much are you paying in court fines?

Please enter the amount in pounds and pence eg. 37.50

What is the frequency of payments for court fines?

Are there any other outgoings you pay?Yes No

How much are you paying for other outgoings?

Please enter the amount in pounds and pence eg. 37.50

How frequently do you pay this amount for other outgoings?

Please describe the other outgoings

Help from Someone Else

Has anyone helped you complete this form or completed this form on your behalf?Yes No

Name of the person who complete the form

Relationship of this person to you

Please give us the phone number of the person who has helped you so we can contact them

Do you give this person permission to deal with your Council Tax and Council Tax Support on your behalf?Yes No

Customer Details - Address

Property search

Street name

Please enter a street name

Postcode

Must be an Enfield postcode

b

Object description

Address details

UPRN

Flat / building name / number

Street name

Town

Postcode

Please enter correct postcode

Temp street search fields

UPRN

Flat / Building Name / Number

Street Name

Town

Postcode

Create Individual - Details

Personal details

First name

Please enter a first name

Last name

Please enter a last name

Email address

We'll only use your details to provide you with updates about this case.

Please enter a valid email address

Phone number

Enter at least 10 digits with no spaces, like 02083791000

Create Individual - Address

Please provide an address by searching for a property below.

Address details

Street name

Please fill the street name to search

Postcode

Must be an Enfield postcode

b

Object description

UPRN

Flat / building name / number

Please enter a flat / building name / number

Street name

Please enter a street name

Town

Please enter a town

Postcode

Please enter a postcode

Temp street search fields (individual)

Flat / Building Name / Number

Street Name

Town

Postcode

Completing your application

Any decision made will be based on the income details we hold on your Council Tax Support claim. If there are changes to this income you must report these immediately so that the correct decision can be made. Please tell us any extra information that may be relevant to your application in the box below.

Subscription

Are you happy for us to contact you via email regarding this matter?

Please reply yes or no

Yes
No

Email address

We'll only use your details to provide you with updates about this case.

Please provide email for subscription

txt_subs_address

txt_subscription_template_create

txt_subscription_template_close

Summary of your Request

Please check the information presented is correct before submitting your request.

Request Details

What is your Claim Number?	[txt_claimnumber]
What Steps have you taken?	[txta_whatsteps]
Can anyone else help you make your payments?	[rad_anyoneelse]
Do you have more than £3000 in savings?	[rad_3000savings]
How long do you expect your financial hardship to last?	[sel_howlong]
What financial year are you making Council Tax Support Hardship application for?	[sel_8J86VEH7]
Do you have a partner living with you?	[rad_partneryesno]
Name of Partner	[txt_partnername]
How many children do you have living with you?	[txt_children]
Other than your partner, how many adults live with you?	[txt_adults]
Does any member of your household have a physical or mental health condition or illness expected to last 12 months or more?	[rad_illness]
How much do you pay for mortgage?	[txt_mpayment]
Are you in arrears? If so how much?	[txt_marrears]
How frequently do you pay your mortgage?	[sel_mfreq]
How many bedrooms are in your property?	[txt_bedrooms]
Why are you making an application for Council Tax Support Hardship?	[txta_whyareyou]
How much rent do you pay?	[txt_rentp]
Are you in arrears? If so how much?	[txt_rentar]
How frequently do you pay rent?	[sel_rentfreq]
How many bedrooms are in your property?	[txt_rentbedrooms]
How much do you pay for gas?	[txt_goe]
What is the payment frequency for gas?	[sel_goe]
How much do you pay for electricity?	[txt_goe2]
What is the payment frequency for electricity?	[sel_goe2]
How much do you pay for water rates?	[txt_wr]
What is the payment frequency for water?	[sel_wr]
How much do you pay for other fuels?	[txt_otherfuels]
Do you have any disability related expenditure?	[rad_disexp]
How much do you pay?	[txt_howmuchdis]
How often do you pay this?	[txt_howoftendis]
Please provide details of your disability related expenditure i.e. is it for a Carer or to help you with your mobility?	[txta_disexpdetails]
What is the payment frequency for other fuel?	[sel_offreq]
How much do you pay for a TV licence?	[txt_tvlic]
How much do you pay for transport costs?	[txt_tc]
How often do you pay this?	[sel_transport_cost_freq]
How much are you paying in loan repayments?	[txt_lr]
What is the frequency of the loan repayment?	[sel_lr]
How much are you paying in court fines?	[txt_cf]
What is the frequency of payments for court fines?	[sel_cf]
Are there any other outgoings you pay?	[rad_other_outgoings]
How much are you paying for other outgoings?	[txt_otheroutgoings]
How frequently do you pay this amount for other outgoings?	[sel_other_outgoings_freq]
Additional Information	[txta_addinfo]
Has anyone helped you complete this form or completed this form on your behalf?	[rad_formonbehalf]
Name of the person who complete the form	[txt_nameofotherperson]
Relationship of this person to you	[txt_relationshipofperson]
Please give us the phone number of the person who has helped you so we can contact them	[txt_otherpersonphonenumber]
Do you give this person permission to deal with your Council Tax and Council Tax Support on your behalf?	[rad_persononbehalf]

The table below provides the customer details if the customer address was captured by the street search widget

Name:	[sel_customer_title] [txt_cust_info_first_name] [txt_cust_info_last_name]
Email address:	[eml_cust_info_email]
Telephone number:	[tel_cust_info_phone]
Address:	[txta_cust_info_address]

Logic

Form Information

VERSION NOTES:

Version Number: 14.0 - 23/10/20 - Form template created by Verint

Version Number: 18.0 - 28/10/20 - Form updated to add additional questions on Open Space and Map Journey, Add Summary Table styling

Version Number: 19.0 - 30/10/20 - Form updated - add Summary text on Preview page (summary page), add complete message.

Version Number: 21.0 - 01/11/20 - Form updated - Override the "Address" required field when Updating Address.

Version Number: 22.0 - 05/11/20 - Form updated - Removing unused widget.

Version Number: 26.0 - 06/11/20 - Form updated - Accessibility fix.

Version Number: 31.0 - 12/11/20 - Form updated - Based on feedback.

Version Number: 41.0 - 16/11/20 - Form updated - Add Emergency Category.

Version Number: 43.0 - 17/11/20 - Form updated - Rename default widget name, and move the summary styling to external file.

Version Number: 49.0 - 19/11/20 - Form updated - Prevent form to continue if no location is selected on the Map journey.

Version Number: 51.0 - 23/11/20 - Form updated - Implement Either/Or search

Version Number: 54.0 - 26/11/20 - Form updated - phone number regex changed and add maximum character.

Version Number: 55.0 - 30/11/20 - Form updated - update the Your Details page.

Version Number: 56.0 - 03/12/20 - Form updated - update the Your Details page and hide subscription page.

txt_access

txt_caseid

le_title

le_eventcode

le_typekey

txt_begin_office_hour

txt_end_office_hour

rad_viewmodeUpdate Read

Customer Information

txt_logic_firstname

txt_logic_lastname

txt_logic_email

txt_logic_phone

Customer Address Information

txt_logic_uprn

txt_logic_streetnumber

txt_logic_streetname

txt_logic_town

txt_logic_postcode

txt_sharepointID_one

txt_filename_one

txt_filename_one_thumb

txt_sharepoint_link_one

txt_sharepointID_two

txt_filename_two

txt_filename_two_thumb

txt_sharepoint_link_two

Thank you for your Council Tax Hardship Support application.

This has been passed to the relevant team for action who will deal with this shortly.

This is your reference number: [dform_caseid]