Child Benefits Claim Form
Page 6
3 – Children you want to claim for continued
Child 2 c
ontinued
Does this child live with you? See page 4 of the CH2 Notes
No
Yes If Yes, go to question 57
What is the name and address of the person this child
lives with?
Has this child lived with anyone else in the last 12 months?
See page 4 of the CH2 Notes
No If No, go to question 60
Yes
What is the name and address of the person this child
lived with?
What date did the child come to live with you?
DD MM YYYY
Are you adopting or planning to adopt this child through
a local authority?
No Yes
Do you want to claim for any more children now?
No If No, go to question 62
Yes If Yes, go to page 7 of the CH2 Notes. Fill in
the additional sheet then go to question 62.
61
5
5
P
ostcode
5
6
Postcode
60
59
58
57
Name
Child 2
Child's surname or family name
As shown on the birth or adoption certificate
Child's first name and any middle name(s)
As shown on the birth or adoption certificate
Is this child male or female?
Male
Female
Child’s date of birth DD MM YYYY
Has this child ever been known by any other name?
No
Yes If Yes, please write it below
Is this child your own? See page 4 of the CH2 Notes
No Yes
Has anyone else ever claimed Child Benefit for this child?
See page 4 of the CH2 Notes
No If No, go to question 55
Yes If Yes, please tell us their name and address
Go to question 55
First name
M
iddle name(s)
50
5
1
5
2
4
9
4
8
Postcode
54
53
Name
Name
Name
For
office
use 8
For
office
use 7
For
o
ffice
use 10
For
office
use 9
For official use only
Page 6/9
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