Child Benefits Claim Form
Address label – please fill in and send this back with your completed claim form.
Please fill in your name and address above in block
capitals using a black pen and send this address label
back to us with your completed claim form.
Important – if you don’t send this address label with your claim form, it may take us longer to send
your documents back to you and to make a decision on your claim.
Make sure your postcode is shown correctly
within the boxes
Example
Postcode XX1 6AA would be shown as
Name
Address line1
Address line 2
Town/City
County
Postcode
X
X
1
6 A
A
CH3 (Address label) 7002163 HMRC 04/13
Your documents
Thank you for sending us your claim form. I have enclosed your
birth certificate(s).
other document(s).
You do not need to do anything – we will write to you again as soon as we have made a decision
about your claim.
HMRC use only – we will use this when we send your documents back to you.
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