Request form for Information for Welfare Rights Organisations and Advice Centres

 

For further information on the New Tax Credits please complete, fully, and submit the form below.

All fields marked with an " * " must be completed before the form can be submitted.

Tax Credit Office - New Tax Credits

 

*Are you a member of a Welfare Rights Organisation / Advice Centre?      Yes
 

*Title

 *Full Name

*Job Title/Position

 

 

 

*Department

*Name of Welfare Rights Organisation / Advice Centre

 

 

 

*Address

*District (1)

*Town/City (2)

 *County (3)

*Post Code

 

 

 

*Telephone

 Fax

Mobile
     
*Email
 
Do you rely on someone in another part of your organisation to cascade information to you? ('Please tell us their name, address, phone number and e-mail address)

Are you in a position to cascade information to other parts of your organisation?

Yes

 
        
   
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