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Which Benefit are here to help, we can provide the information you need quickly and without the delays that may be experienced.
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Title *

Are you Mr, Mrs, Miss  etc.?

 
First Name *

Please provide your first name.
 
Surname *

Enter your surname or family name.
 
What do you need to do {{answer_VtfI2rs0n82B}} {{answer_yMaEfI7ry48v}}? *

How can we help you?

 
Date of Birth

 
Benefits you are contacting us about? *

Indicate which benefits you are contacting us about or you wish to apply for, for more options or if not listed, select "other".

 
Benefits: Extended List, tick all that apply. *

If the benefit is not listed, click "other" and add the name of the benefit or benefits as required.

 
Postcode *

Please provide your home postcode.
 
House Number or Name *

Please provide your house (or flat) number or the property name.
 
Telephone *

In case we need to contact you regarding your request, please provide your telephone number. Please omit (44)
 
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Thank you for contacting us  {{answer_VtfI2rs0n82B}} {{answer_yMaEfI7ry48v}} in connection with your enquiry about applying for new benefits, we will attend to your request promptly and will send the requested information to your email address as entered; {{answer_iclXFQZfNCGb}}. Thank you again for contacting us.
Thank you for contacting us  {{answer_VtfI2rs0n82B}} {{answer_yMaEfI7ry48v}} in connection with your enquiry about updating your address details, we will attend to your request promptly and will send the requested information to your email address as entered;
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Thank you for contacting us  {{answer_VtfI2rs0n82B}} {{answer_yMaEfI7ry48v}} in connection with your enquiry about updating your existing claim details, we will attend to your request promptly and will send the requested information to your email address as entered;
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Thank you for contacting us  {{answer_VtfI2rs0n82B}} {{answer_yMaEfI7ry48v}} in connection with your enquiry about getting the right contact details in connection with your existing claim.
 We will attend to your request promptly and will send the requested information to your email address as entered; {{answer_iclXFQZfNCGb}}.
Thank you again for contacting us.