Discretionary Housing Payment: Help with a deposit or removal costs online

Your details
First name
Last name
Date of birth (DD/MM/YYYY)
Email address
Phone number
Housing benefits claim number
National Insurance Number
Your current address

Please enter a Denbighshire postcode and then click the 'Find address' button.

Alternatively, please type in your address below.
Postcode
Address line 1
Address line 2
Address line 3
Address line 4
Address line 5
Please tell us the names and dates of birth of anyone else in your household, as well as their relationship to you

Deposit from current property
Please tell us the amount that you expect to be returned to you from the deposit at your current property

Do you or your partner currently receive support from Pathways or Floating Support?
YesNo
Do you or your partner receive financial advice from Citizens Advice Denbighshire?
YesNo

Citizens Advice Denbighshire, Pathways and Floating Support
Citizens Advice Denbighshire, Pathways and Floating Support can help with;
- Benefits advice
- Debt advice
- Energy and household bills advice
- Housing advice
- Money management and budgeting
- Online Advice Service
- Risk of homelessness
- Fear of Domestic Abuse
- Mental Health Support (e.g. suffering from anxiety, depression as a result of your housing situation
- Learning Disabilities and similar or related support needs (e.g Autism, Asperger’s Syndrome or acquired a brain injury.)
Would you like us to refer you to Citizens Advice Denbighshire, Pathways and Floating Support so that they can contact you?
YesNo

Have you had help from us or another agency with housing costs to enable you to move in the past?
YesNo

Please let us know which of the following you have received:
DepositRent in advance
Please tell us the amount(s) you received

Housing waiting lists
Are you on any council or Housing Association waiting lists including SARTH?
YesNo

New property details
Please tell us the address of the property you are proposing to rent.
Address line 1
Address line 2
Address line 3
Address line 4
Address line 5
Postcode
Please let us know what the rent will be per month at the new property
Please tell us if there are any special reason why this property would be more suitable for you (and your family)
Disability reasonsCheaper propertyOvercrowdingHealth reasonsOther

Please tell us the other reason why this property would be more suitable for you (and your family)

DHP for deposits
Please let us know the information for a DHP for a deposit.
Please tell us the new landlord’s name
Please tell us the new landlord’s address.
What is the amount of money you would like to request for the deposit DHP?
If possible, please upload a document or image of the letter of tenancy from the new landlord
Do you have the new landlord's bank details?
YesNo

DHP for help with removals
Please let us know the information for a DHP for help with removals.
Please tell us the removal company’s name and address
What is the amount of money you would like to request for the help with removals DHP?
If possible, please upload a document or image of the removal quote
Do you have the new removal company's bank details?
YesNo

Bank statements

Please provide us with your most recent bank statement. If you have a partner living with you, you will also need to provide a copy of their most recent bank statement.

The statement must show the current balance and all the transactions for the last month.
Upload your most recent bank statement
Upload another statement (optional)

Do you, or your partner, have any other bank or building society accounts?
YesNo

Other bank or building society accounts
Please provide details about any other bank or building society accounts you have, including their current balance.

Please let us know any other information you would like us to consider with your application
Declaration
Please read each declaration carefully.
Verifying information
I authorise Denbighshire County Council to make any necessary enquiries to verify the information on this form
Correct information
I declare that the information given on this form is correct and complete to the best of my knowledge

Discretionary Housing Payment application: Help with a deposit or removal costs