Budgeting Loans from the Social Fund Form
2
Part 2
About your children
Are you getting Income Support or
income-based Jobseeker’s Allowance for
your children?
No
Yes
How much do you receive weekly?
Are you getting Child Tax Credit for your
children?
No
Yes
How much do you receive weekly?
Are you getting Child Benefit for your children?
No
Yes
How much do you receive weekly?
About what you need
Part 3
/ /
Please tell us about any children you are
getting a benefit or entitlement for.
Date of birthName
/ /
/ / / /
/ / / /
/ / / /
/ / / /
Name Date of birth
£
£
£
Furniture and household
equipment
Rent in advance or removal
expenses to secure fresh
accommodation
Travelling expenses
Improvement, maintenance and
security of the home
Expenses associated with
seeking or re-entering work
Repaying HP and other debts –
for any items or expenses
which are associated with the
categories above
Clothing and footwear
Budgeting loans can only be given for the
types of items or services listed in this part.
Please enter the total amount you need in the
Total amount applied for box for what you
need. Also tick the other category boxes that
apply to you.
We do not need any more information for this
Part 3.
Total amount applied for
£
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