Child Benefit Claim Form : Who Should Fill in This Form
Child Benefit Claim Form : Who Should Fill in This Form
Child Benefit Claim Form : Who Should Fill in This Form
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Fill in this form if you or your partner are responsible for a child,
even if you decide not to get Child Benefit payments
the future.
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Assessment. Or you can decide not to get
and pay the tax charge each year by
You should fill in and send us this form even if you decide not to get Child Benefit
payments. If you do not want to get Child Benefit payments, answer ‘no’ to question 62.
Do not delay making your claim because Child Benefit can only be backdated 3 months
No
Telephone number
First name
11 What is your nationality?
Middle name(s)
This is shown on your passport if you have one,
for example, British, Irish, French, Polish.
5 Have you ever been known by any other last name(s) Nationality
or family name(s) including your maiden name?
D D M M Y Y Y Y No If No, go to question 14
For office Yes If Yes, tell us the full name and date of birth
use 1 7 Your address
of the eldest child you’re entitled
to or currently receiving Child Benefit for,
then go to question 14
No If No, go to question 9
Child’s middle name(s)
Yes If Yes, go to question 10
D D M M Y Y Y Y
Page 2
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1 About you continued About you continued
14 Have you always lived in the UK? 21 Are you now, or have you at any time in the last
By this we mean you’ve never lived outside the UK. 3 months, worked in another country or received
Read page 3 of the CH2 Notes. benefit from another country?
15 Do you usually live in the UK? 22 Are you a member of HM Forces or a civil servant
Read page 3 of the CH2 Notes. working abroad?
Country
Married or in a civil partnership, go to question 24
Tell us the date you arrived in the UK Living with a partner as if you’re married or a
17
civil partner since
D D M M Y Y Y Y
D D M M Y Y Y Y
go to question 24
18 Are you subject to immigration control now, or have
Widowed, go to question 34
you been at any time in the last 6 months?
Read page 3 of the CH2 Notes. Separated since
No If No, go to question 20 D D M M Y Y Y Y
go to question 34
For
If you’ve been subject to immigration control in Single, go to question 34
office 19
use 2
the last 3 months, tell us the date your immigration
status was granted 2 About your partner
D D M M Y Y Y Y
24 Your partner’s full name
Nationality
Page 3
2 About your partner continued About your partner continued
28 What is your partner’s employment status? 31 Is your partner entitled to Child Benefit now or are they
Tick the box or boxes that apply. waiting to hear if they can get Child Benefit?
No Yes
Child’s middle name(s)
No If No, go to question 31 D D M M Y Y Y Y
Country
Important information 34 How many children are you claiming for on this form?
If this Child Benefit claim is for a newborn child, you need
to register their birth before you send your claim to us or
a decision on your claim will be delayed.
Child Benefit can be backdated 3 months. 35 How many original birth certificates, adoption certificates,
You do not need to send us a birth certificate if either: passports and/or travel documents are you sending us?
• the child’s birth was registered in England, Wales HMRC only accepts original documents so do not
or Scotland as we can check their birth information send photocopies. Authenticated/certified photocopies are
• you or someone else has claimed for this child in not acceptable
the past
birth certificates
Documents we need
Only send us a birth certificate for each child in this claim adoption certificates
if the child’s birth was registered in Northern Ireland or
outside the UK.
passports
If your child is adopted, you must send us the
adoption certificate. travel documents
If any child in this claim was born outside the UK we also
need to see their passport(s) or their travel documents
used to enter the UK.
We’ll normally return your documents within 4 weeks.
If you do not send the documents we need with the
claim form, a decision on your claim will be delayed.
Page 4
3 Children you want to claim for - Child 1
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36 Child’s full name including last or family name 43 Have you or anyone else ever claimed Child Benefit for
As shown on their birth or adoption certificate. this child? Read page 4 of the CH2 Notes.
Address
Name
Address
40 Has this child ever been known by any other name?
No Yes What date did the child come to live with you?
47
Social worker
For
office
use 4
42 Is this child your: D D M M Y Y Y Y
Read page 4 of the CH2 Notes.
Address
Male Female Does this child live with you in the UK?
58
For
Read page 4 of the CH2 Notes.
office 51 Child’s date of birth
use 7
read page 4 of the CH2 Notes address to you in the last 12 months?
Read page 4 of the CH2 Notes.
No If No, go to question 61
Yes If Yes, and they were born in Scotland, do
not send any documents, tell us the district Yes If Yes, tell us their name, address and
number, year and entry number from their telephone number
birth certificate – read page 4 of the CH2 Notes Name
Address
Child’s
Name other name
60 What date did the child come to live with you?
No Yes
61 Are you adopting or planning to adopt this child
through a local authority?
55 Is this child your:
For
office Read page 4 of the CH2 Notes.
use 8 No Yes
Birth child Adopted child
If you want to claim for any more children, go to page 7
of the CH2 Notes and fill in the ‘Additional children’ form
Stepchild None of these
For
To get Child Benefit paid every week tick all boxes which The account is in someone else’s name – tell us office
64 use 13
the name of the account holder in the box below
apply to you or your partner
Name 1
I or my partner receive one or more of the following:
• Income Support Name 2
• Income-based Jobseeker’s Allowance
• Pension Credit
67 Name of the bank or building society
• Income-related Employment and Support Allowance
• Universal Credit
For
65 Do you already get Child Benefit? 68 The branch sort code. Read page 5 of the CH2 Notes. office
use 14
— —
No If No, go to question 66
Yes If Yes, we will use the bank or building 69 The account number. Read page 5 of the CH2 Notes.
society account we already pay your
For
Child Benefit into. Go to the declaration office
use 15
on page 8
70 If the account is with a building society, tell us the roll
or reference number if you have it
Read page 5 of the CH2 Notes.
Important
Fill in the declaration on page 8.
Page 7
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Documents we need Help
You need to send us these documents with your claim form if the child has not been If you need more help or information,
claimed for before: go to www.gov.uk/child-benefit
• the birth certificate for each child in this claim if the child’s birth was registered in or phone our helpline below.
Northern Ireland or outside the UK
If you have a change in
• if any child in this claim was born outside the UK, we also need to see their
your circumstances:
passport(s) or their travel documents used to enter the UK
go to www.gov.uk/report-
If this claim is for a child you’ve adopted, you must send us the adoption certificate. changes-child-benefit
Do not send photocopies of any of the documents you’re sending us.
� • � phone the Child Benefit Helpline
You also need to send us any extra pages you’ve filled in if you want to claim for more
on 0300 200 3100
than 2 children.
� • � use NGT relay (if you cannot hear
or speak on the phone) dial 18001
If you do not send all the documents we need with the claim form, a decision on your
Make sure we have the right address to return your documents. If you move without
i dderbyn fersiynau Cymraeg o
telling us your new address, we’ll not be able to return your documents and we may
ffurflenni a chanllawiau
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destroy them. If we believe that any of the documents you send us are not genuine,
• � write to
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we may keep them.
� Child Benefit Office
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PO Box 1
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What you need to do now
NEWCASTLE UPON TYNE
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You must:
NE88 1AA
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• sign and date the declaration below
• if you’re overseas,
• only fill in your name and address on the CH3 (address label) if you’re sending
phone +44 (0)161 210 3086
documents you want returning
• include the address label (if you’ve filled it in) with this claim form and any When you get in touch with us, tell
documents or pages from the list above in your envelope us your:
• full name
Make sure you pay the correct postage when sending your form to us. If you do not
• National Insurance number
have a pre-addressed envelope, send your form to:
• daytime telephone number
Child Benefit Office (GB)
Washington
NEWCASTLE UPON TYNE
NE88 1ZD
We’ll normally send your document(s) back to you within 4 weeks. We’ll review your
claim and write to tell you if you can get Child Benefit and if so, how much.
Declaration Tick the box(es) that apply to you and sign this form to claim Child Benefit.
I’m sending the birth certificate(s) or other documents that you need with this form.
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I understand if I do not send the documents you need with this claim form, a decision on my claim will be delayed.
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I am not sending photocopies.
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I declare that the information I’ve given on this form is correct and complete. If I give information which I know is not correct
or complete, you may take action against me. I’ll tell you about changes to my circumstances when they happen and
understand I could be overpaid and may have to pay money back if I do not.
Signature � Date
For
office
D D M M Y Y Y Y use 16
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Document(s) returned
Birth certificate Normal
Passport Recorded
Other Registered
Page 8
Address label – fill in and send this back with
your completed claim form.
Name
Address line1
Address line 2
Town/City
County
Postcode
Make sure your postcode is shown
correctly within the boxes. For example,
postcode XX1 6AA would be shown as
X X 1 6 A A
• fill in your name and address above in block capitals using a black pen
• send this address label back to us with your completed claim form
• you’ll need a stamp for the envelope - make sure you pay the correct postage
Important – if you don’t send this address label with your claim form, it may take us longer to send your
documents back to you and to make a decision on your claim.
HMRC use only – we’ll use this when we send your documents back to you.
Your documents
Thank you for sending us your claim form, I have enclosed your:
Other document(s)
You don’t need to do anything – we’ll write to you again as soon as we’ve made a decision
about your claim.