A list of the principal claim forms for benefits administered by the Department is as follows. The other information requested is not readily available and could be supplied only at disproportionate cost.
Main Benefit |
Form No. |
Details |
|
SF200 |
Funeral Payment—postal claim form |
|
SF300 |
Application for Budgeting Loan or Community Care Grant |
|
SF400 |
Crisis Loan application form |
Widows Benefit |
BW1 |
Application for Widows Pension, Widows Payment and/or Widowed Mothers Allowance |
Retirement Pensions |
BR1 |
Application for Retirement Pension |
Child Benefits |
CH2 |
Initial Claim for Child Benefit including One Parent Benefit if appropriate |
|
CH12 |
Claim for Child Benefit for additional children |
|
BG1 |
Claim for Guardians Allowance if a person takes an orphaned child into the family |
Incapacity Benefits |
SC1 |
Claim for Statutory Sick Pay (SSP) or Sickness Benefit self certificated sickness |
|
SSP1(E) |
Claim for Sickness or Invalidity Benefit for people who do not qualify for SSP from work |
|
SP1(T) |
Claim for Sickness or Invalidity Benefit when SSP from work runs out |
|
SDA1 part of leaflet NI252 |
Claim for Severe Disablement Allowance (for people below retirement age who cannot work because of illness or disablement) |
Maternity pay |
MA1 |
Claim for Statutory Maternity Pay (SMP) from work or Maternity Allowance |
Family Credit |
FC1 |
Family Credit—postal claim form |
Agency Benefits |
AG1 |
Claim for help with National Health Service charges and travelling expenses |
Attendance Allowance |
NI251 |
Attendance Allowance |
|
NI212 |
Invalid Care Allowance—for people looking after someone who has Attendance Allowance |
Injury and Disability |
BI104 |
Constant Attendance Allowance for people who need constant attention because of the effects of an industrial accident or disease |
|
BI103 |
Reduced Earnings Allowance for people who cannot return to their former occupation because of the effects of an industrial accident or disease |
|
BI100A |
IIDB for Industrial Accidents |
|
BI100(OA) |
IIDB for Occupational Asthma |
|
BI100B |
IIDB for a Prescribed Industrial Disease |
|
BI100C |
Claim for further award of Unemployability Supplement—the initial award does not need a separate claim form |
|
BI100(OD) |
IIDB for Occupational Deafness |
|
BI100P |
IIDB for Pneumoconiosis (certain cases only) |
|
BI100Pn |
IIDB for Pneumoconiosis, Byssinosis, Silicosis and Asbestosis |