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Support for a child
who is informally
living with you
Where it is likely that they would otherwise

be looked after by a local authority
Please note there is a separate form for Northern

Ireland claimants. This form is for England, Scotland
and Wales claimants only.
From 6 April 2017, support through Child Tax Credit, Universal Credit or
Income Support payments will generally only be available for the first two
children you are responsible for. In general, you will continue to receive a
child amount for all children born before that date.
For the purposes of this form, by “child” we mean anyone aged under 16,
or a young person aged under 20 who enrolled on, accepted or started
full-time non-advanced education such as A-levels or approved training
before they turned 19.
There are exceptions where there are more than two children.
These are detailed at www.gov.uk/hmrc/ctc-exceptions and
www.gov.uk/guidance/universal-credit-and-families-with-more-than-
2-children-information-for-claimants
One of those exceptions applies where a child comes to live with you:
• in a formal caring arrangement, for example, appointment as guardian
– see the Getting additional support section below for the full list of
these, or
• informally, and it is likely they would otherwise be looked after by the
local authority
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Getting additional support
You may be able to get additional support if you are caring for a child or children
where it is likely they would otherwise be looked after by a local authority.
If you think this applies to you, you can apply for this exception by:
• providing documents of a formal caring arrangement. An exception applies if you
have in place (or had in place up to the child’s 16th birthday and they have lived
with you continuously since) any of the following arrangements in respect of the
relevant child:
England and Wales:
Child Arrangement Order
Appointment as Guardian
Special Guardianship Order
Entitlement to Guardian’s Allowance
Scotland:
Kinship Care Order
Appointment as guardian
Permanence Order (which grants one or more parental responsibilities or parental
rights in the claimant)
Northern Ireland:
Residence Order
Appointment as guardian
or
• completing Part 1 of the form below and asking a registered social worker, who
you should contact in their professional capacity, to fill in Parts 2 and 3. This is to
give us the information we need to support you further.
Any information you provide will be kept in line with data protection standards. If
you can get this additional support, the reason for the exception will not appear in
any future benefit notifications.
How to approach a registered social worker

If you are not already in contact with a registered social worker, please contact your
local authority.
If you are in a County Council area, it is that council you will need to contact. You
can find your local authority by inputting your postcode at www.gov.uk/find-local-
council
If you don’t fill in and return the form

You may not receive the additional amount for the child or children unless one of the
other exceptions applies. These are detailed at www.gov.uk/hmrc/ctc-exceptions
and www.gov.uk/guidance/universal-credit-and-families-with-more-than-2-
children-information-for-claimants
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If you are a Child Tax Credit or Universal Credit claimant you’ll get the additional
amount for any children born before 6 April 2017. Any third or subsequent children
born after this date will not receive this additional amount unless one of the other
exceptions applies to that child.
If you are having difficulties with this form see More information.
More information
For more information on how to make a claim for this exception:
If you are claiming Universal Credit contact your work coach or case manager.
If you are claiming Child Tax Credit go to www.gov.uk/child-tax-credit for further
information and guidance, or call the Tax Credit Helpline on 0345 300 3900.
If you are claiming Income Support go to www.gov.uk/income-support for further
information and guidance.
Equality and diversity

We are committed to treating people fairly, regardless of their disability, ethnicity,
sex, sexual orientation, transgender status, marital or civil partnership status, age,
religion or beliefs. Please contact us if you have any concerns.
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Support for a child who would likely be looked after
by a local authority if they were not being informally
cared for by the claimant form
Please fill in this form and return it to us. This will help us give you full support.
You should fill in Part 1 and ask someone else to fill in Parts 2 and 3.
Parts 2 and 3 should be completed by a registered social worker you have previously
spoken to or are now speaking with in their professional capacity about the circumstances
in which you have taken on the care of the child. They’ll need to confirm that if this child
were not being cared for by you, it is likely that they would otherwise be looked after by a
local authority.
Please write in black ink and use CAPITAL LETTERS.
Part 1: Your details

Name
Letters Numbers Letter

National Insurance (NI) number
Address
Postcode
Please now pass this form to the professional to complete Parts 2 and 3.
There is third party guidance at
www.gov.uk/government/publications/support-for-a-child-who-is-informally-living-with-you
Part 2: Registered social worker’s contact details
Name
Job title
Local authority
Phone number
Address
Postcode
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Part 3: Registered social worker declaration
Based on the meeting(s) I have had with the claimant in the course of my professional duties, and
any other relevant information available to me, I confirm that:
The claimant has undertaken the care No

of the child who is normally living with
them on an informal basis. Yes
and
The circumstances of the child are such No

that, if they were not in the care of the
claimant, it is likely that they would Yes
otherwise be looked after by a local
authority.
I confirm that
Claimant’s name
contacted me on / /
Regarding the circumstances in which the child came to live with them
Child’s name
Child’s date of birth / /
The date the child came to live with the / /

claimant
Any other information
Signature
Date / /
Registration number
HM Revenue and Customs or DWP may contact you to confirm authentication.
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What to do now
What you do with the form now depends which benefit you are claiming.
Child Tax Credit

Send the form to:
Exceptions
HM Revenue and Customs
BX9 1HZ
You may wish to ask for a proof of posting.
Universal Credit
A case manager should have informed you of the process for returning the form
during your phone conversation when you were directed to this form.
If you are a Full Service claimant, give the form to your work coach or as directed by
your case manager.
If you are a Live Service claimant, send the form to:
Freepost RTEU-LGUJ-SZLG Universal Credit
Post Handling Site B
Wolverhampton
WV99 1AJ
You may wish to ask for a proof of posting.
Income support
Give the form to your work coach or return it to the address they tell you.
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Support for a child

Where it is likely that they would otherwise

Please note there is a separate form for Northern

How to approach a registered social worker

If you don’t fill in and return the form

Equality and diversity

Part 1: Your details

Letters Numbers Letter

Part 2: Registered social worker’s contact details

The claimant has undertaken the care No

The circumstances of the child are such No

Child’s date of birth / /

The date the child came to live with the / /

Any other information

HM Revenue and Customs or DWP may contact you to confirm authentication.

Child Tax Credit

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