Advice & Benefits
Business
Community & Living
Council & Democracy
Education & Learning
Environment & Planning
Health & Social Care
Housing
Jobs & Careers
Leisure & Culture
Transport & Streets

Online Benefit Fraud Form

NOTE: JavaScript is required by this form to perform advanced features, such as field validation and paging.

This form may not work correctly unless you have JavaScript enabled. Please speak to your IT administrator for further information.

Who do you suspect is committing the Fraud?
Title:
Gender:
First Name:
Surname:
Nickname/Aliases
Address:	-- Enter Text --
Home Telephone Number:
Work Telephone Number:
Date of Birth:
Age:
National Insurance No:

Contact Information

If you require further information or you would like help completing the application form please contact the Benefits section at:-
South Bucks District Council
Capswood
Oxford Road
Denham
Bucks
UB9 4LH

Tel: Benefits helpline 01895 837515
Email:revenuesandbenefits@southbucks.gov.uk

Section 2 Type of fraudulent activity

When did the fraud start?	-- Enter Text --
Why do you think the claim is fraudulent?	-- Enter Text --

What type of fraud is being committed?

Other:

Section 3 Living arrangements

What address do you think they are actually living at?	-- Enter Text --
Does the Landlord know?
If Yes why do you think so?
Do they intend to come back?
Is the property being sub-let?
If Yes, to who?

Section 4 Employment

How do they get to work?
At what time do they leave home?
When do they work?	-- Enter Text --

Does their employer know that they haven't declared the work?
Vehicle details:
Car make / model:
Car registration:
Car colour:

Section 5 Income

What other income haven't they declared?Label	-- Enter Text --
Where is this from? e.g. trust funds, rent.

Section 6 Capital Investments

What other capital do they have?
How much is this worth?
Where is this capital - Bank, Building Society, second property?

Section 7 Details of partners

First name of partner:
Surname of partner:
Date of birth of partner:
Do they work?
If Yes, where do they work?
What hours do they work?	-- Enter Text --
How long hs the partner been living there?


Section 8 Other people in the house

First name:
Surname:
Age:
Date of birth:
What is their income?

Section 9 Living as a couple with the landlord

Landlord's first name:
Landlord's Family name:
How long have they been living as a couple?
Does landlord know about the benefit claim?

Section 10 Landlord is a close relative and is living in the same property

Landlord's first name:
Landlord's Family name:
What is their relationship?
Does relation know of the benefit claim?

Section 11 Any other information
Please enter below any other information you think may be useful.	-- Enter Text --