Local support application checklist – April 2022
This is to help people make sure all support options have been considered. A copy of this checklist can be sent with any application for discretionary support as additional information to help the decision maker.
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Support worker name |
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Organisation / role |
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Contact number |
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Customer name |
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Address |
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Postcode |
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Date of birth |
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Contact number |
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Support completed www.york.gov.uk/benefits |
Yes / No |
Please give details & app. reference |
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Benefits check |
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Income & expenditure budget |
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Budgeting support |
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Maximising income – utilities checks, etc. |
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Other support |
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Universal credit housing allowance |
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Housing benefit |
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Council Tax support |
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YFAS application, |
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DHP application |
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Discretionary Council Tax Reduction application |
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Household Support Fund |
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IT Reuse –IT equipment/ mobile phone /internet application |
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Fuel vouchers |
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LAC/HMO/CmtyO only – Early Support Fund |
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Please outline why you are recommending these applications. Giving details of how these fit with the overall plan for the applicant and the impact they will have on the applicant and their family.
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I have seen confirmation of income & savings |
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I have provided income confirmation & savings |
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Signed |
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Date |
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