Use this form to make an application for Discretionary Housing Payment.
Please answer the questions on the following pages and provide as much detail as possible so we can make a decision on any award.
You may be required to provide supporting information which can be e-mailed to us after you submit your application.
We may contact you to carry out an income & expenditure assessment over the phone to support your application.
This form will time out after 20 minutes inactivity.
For more details on how we will use your information please see our DHP Privacy Notice