Getting started
Your date of birth Your sex Do you have a partner? Do you have any dependent children aged under 20 living with you? Are you claiming Jobseeker's Allowance because Employment & Support Allowance stopped since 5 August 2012? Have you had Jobseeker's Allowance since 6 March 2012 ? In total, do you have savings of more than 16000? 1 November 1987 Female No No No No No
Your claim
If you would like an email mona_ym@hotmail.com acknowledgement when you submit your claim, please enter your email address Do you want to claim Council Tax No Benefit? Do you want to claim Housing Benefit? No
Work
Are you available and looking for work? Yes Do you have a job at the moment, paid or No unpaid? Do you have any restrictions imposed by No the Home Office on your right to work in this country?
Current benefits
Do you have an illness or disability that prevents you from working? No
Existing benefits
1
Are you currently receiving Housing Benefit? Are you currently receiving Council Tax Benefit?
No No
Personal details
Title First name Middle name Surname Relationship status Nationality National Insurance (NI) Number Miss Mona Yousuf Mohamoud Single Somali SC510756A
Contact information
Your address status Where you live Would you like us to send your post to a different address? Daytime contact number Contact number type I have a permanent residential address 20 Wilsmere Drive, NORTHOLT, Middlesex, UB5 4JA, England No 07983554741 Mobile
Is this a specially adapted phone for the No deaf, hard of hearing or speech-impaired (known as a Textphone)? Do you have another contact number? Yes Please provide another number you can 02084228743 be contacted on If you need us to provide an interpreter when we contact you, please select the language required
Disability
Have you ever been on the local authority No register for blind persons?
Immigration
Are you subject to immigration control No rules when entering or residing in this country? Have you returned to or arrived in the UK No in the last two years?
Training allowance
Are you receiving a training allowance? No
Previous work
Have you received, or do you expect to receive, any payments because a job ended in the last 12 months? Have you had any jobs that have ended in the last six months? No No
Your pensions
Have you received, or are you likely to No receive, any payments made as part of the Armed Forces Compensation Scheme? Do you receive a pension now, or expect No to receive one in the next three years?
Current benefits
Do you currently receive any benefits or help with mobility? No
Potential benefits
Are you waiting to hear about any benefits you've claimed? No
Previous benefits
Have you made any other benefit claims No before (other than those you are currently receiving or waiting to hear about)? Have you been on jury service in the last No 12 weeks?
Caring
Are you a carer for someone else? Do you have a carer? No No
Carer's Allowance
Have you stopped receiving Carer's Allowance in the last three months? No
Apart from your main home, do you own any property or land in this country or abroad, even if it is on a mortgage? Does anyone owe you any money? Does anyone pay you rent for rooms or property? Do you get any payments from a credit insurance policy? Does anyone pay money to someone else on your behalf? Do you get any maintenance payments? Do you receive any other money from any source? Have you received any financial assistance towards the costs of a course of education which ended in the last three months or is still current?
No No No No No No No Yes
Capital
Do you have any of the following types of Bank account - savings? : Yes capital? Cash? : No Premium bonds? : No Bank account - current? : Yes National Savings account? : No Building society account? : No Post Office account? : No Unit trusts, ISAs, PEPs, TESSAs or other investments? : No Money from the sale of a house? : No Money saved for something? : No Money from a redundancy payment? : No Income bonds or capital bonds? : No Money or property held in trust - including any trusts set up for your child(ren)? : No Other savings? : No
Education subsidies
How many sources do you receive help with the cost of courses of education from, or expect to receive help with the cost of courses of education from? Are you in advanced education and entitled to claim a student loan? 0
No