Apply for a Discretionary Housing Payment Current Your details Your home Special circumstances Benefit cap Your income Improve finances Declaration Preview Submission Indicates required field Council Tax account number Your details Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Address Customer address First line of address Second line of address City/Town Postcode Contact Email Phone number Additional details Date of Birth National Insurance Number Your Benefits Do you receive one of the following benefits? Housing Benefit Universal Credit Housing Costs - What do you need help with? I need help with: My rent Rent in advance for a new home A rent deposit for a new home Removal costs to help me move to a new home Other rent costs Enter other rent costs Information message If you need help with a rent deposit for a new house, visit our Rent Deposit Guarantee Scheme page Status message Please ensure you have filled in all fields to continue 17826