Child Benefits Claim Form
Page 4
Is your partner a member of HM Forces or a civil servant
working abroad?
No Yes
What is your partner’s nationality?
This is shown on their passport if they have one
Does your partner now, or have they at any time in the
last three months, worked in another country or received
b
enefit from another country?
No
Y
es If Yes, tell us the name of the country
Is your partner receiving Child Benefit now or are they
waiting to hear if they can get Child Benefit?
No If No, go to question 32
Yes
2
4
2
6
27
25
Your partner’s full name and date of birth
Partner’s date of birth DD MM YYYY
Your partner’s National Insurance number
See page 3 of the CH2 Notes
Example of a National Insurance number XX 99 99 99 X
Your partner’s Child Benefit number if you know it
Example of a Child Benefit number CHB 99999999 XX
Their Child Benefit number is on any letters we have
sent them
If you don't know their Child Benefit number you should
still claim now
The full name and date of birth of the eldest child your
partner is receiving Child Benefit for
Child’s date of birth DD MM YYYY
Child’s surname
Child’s first name
Child’s middle name(s)
2
9
2
8
31
C H B
3
0
Please note
For each child in this claim we need to see their:
• birth certificate (full or short version), or
• adoption certificate.
If any child in this claim was born outside the UK we also
need to see their passport(s) or their travel documents used
to enter the UK
We do not accept photocopies of birth certificates
If you don’t send the documents we need with the claim form,
a decision on your claim will be delayed.
How many children are you claiming for on this form?
How many birth certificates are you sending
with this form?
We do not accept photocopies
of birth certificates
We don’t need to see a birth certificate for a child
that has been claimed for by you or someone else
in the past
Please now go to
question 34
32
33
2 – About your partner
3 - Children you want to claim for
You don’t need to tell us about children you already get Child Benefit for.
Important
If no-one else has claimed Child Benefit for the children named on this form, send us their birth certificate(s)
Partner’s name
Page 4/9
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