Carer's Credit Application Form

CC1 06/15
Carer’s Credit
Application form
Use this form to apply for Carer’s Credit.
You will already be getting credits if you get:
– Carer’s Allowance, or
– Child Benefit for a child under the age of 12.
So you don’t need to fill in this form.
If you are a foster carer and will get National
Insurance Credits from HM Revenue & Customs,
you don’t need to fill in this form.
Please read the Notes that came in the
application pack before you fill in this form.
To find out if you might get Carer’s Credit,
answer the questions on page 3 of the Notes.
The carer or their representative must fill in this
form, not the person being looked after.
Please write clearly in ink.
Please answer all the questions that apply to
you.
If you want help filling in any part of this form,
or need an application pack in large print or
Braille, you can ring us on 0345 608 4321.
If you have speech or hearing difficulties, you
can contact us by textphone on 0345 604 5312.
Our textphone service does not receive
messages from mobile phones.
If you live in Wales and would like us to contact
you in Welsh, please tick this box.
Calls to 0345 numbers cost no more than a standard
geographic call, and count towards any free or inclusive
minutes in your landline or mobile phone contract.
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Carer's Credit Application Form PDF

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