Carers Allowance Claim Form
4
About you – the carer c
ontinued
No
Yes
Were you present in any
countries other than
Great Britain since the
date of claim?
If ‘Yes’ please give details of countries and dates:
No
Yes
Do you, or any member
of your family, receive
any benefits or pensions
from a country which is
not Great Britain?
No
Yes
Have you, or a member of
your family made a claim,
for any benefits or
pensions which has not
yet been decided, from a
country which is not
Great Britain?
No
Yes
Are you, or a member of
your family, working in
or paying insurance to,
another EEA state or
Switzerland?
If you have answered ‘Yes’ to any of the last 3 questions,
we will contact you for more information.
If there are other personal details you think we should know,
for example previous names and addresses, please tell us
about them on page 24 Other information.
Page 4/27
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