Carers Allowance Claim Form
3
About you – the carer c
ontinued
What is your nationality?
For example, British.
If you have a current
passport, please give your
nationality as shown on
your passport.
Which country are you
living in now?
No
Yes
Were you present in
Great Britain throughout
the three years before
the date you are
claiming from?
By Great Britain we mean
England, Scotland or
Wales.
No
Yes
Is this the country that
you normally live in?
If No, which country do you normally live in?
If ‘No’ please give details below of any countries you have
lived in or visited, in the three years before the date you are
claiming from:
We may need to contact you for information about this.
Reason for being
there e.g.
home/holiday/work
To
/ // /
/ /
/ /
/ /
/ /
Country From
Was the
person you
look after
with you?
YES/NO
/ /
/ /
/ /
/ /
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