Child Benefits Claim Form
Page 3
If you have been subject to immigration control in the
last three months, tell us the date your immigration status
was granted DD MM YYYY
Please send a copy of your Home Office documents to
us with this form
Are you now, or have you at any time in the last three
months, worked in another country or received benefit
from another country?
No
Yes If Yes, please tell us the name of the country
Are you a member of HM Forces or a civil servant
working abroad?
No Yes
What is your marital or civil partnership status?
Please tick one box
Married or in a civil partnership Go to question 24
Living with a partner as if you
are married or a civil partner Go to question 24
Widowed Go to question 32
Separated Go to question 32
Divorced Go to question 32
Single Go to question 32
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2
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0
2
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23
What is your nationality?
This is shown on your passport if you have one
Have you always lived in the UK?
By this we mean you have never lived outside the UK
See page 3 of the CH2 Notes
No I have lived outside the UK
Go to question 16
Yes I have always lived in the UK
Go to question 21
Do you usually live in the UK?
See page 3 of the CH2 Notes
No
Yes If Yes, go to question 18
Which country do you usually live in?
Go to question 19
Did you arrive in the UK in the last three months?
No
Yes If Yes, tell us the date you arrived
DD MM YYYY
Are you subject to immigration control now, or have you
been at any time in the last three months?
See page 3 of the CH2 Notes
No If No, go to question 21
Yes
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