Registration

Register for Benefits Guardian Service

Our Benefits Guardian Service provides full support with Housing Benefit and Council Tax Reduction. If you or your loved one struggles with letters, forms, internet access, or council communication, please complete the registration form below.

Once registered, we will contact you within 24 hours to begin support.

1Your Details

Full Name*Please enter your full name. Date of Birth* Phone Number*Please enter a valid phone number. Address* Postcode* Email Address*Please enter a valid email address. Preferred Contact Method* National Insurance Number*Please check this National Insurance number.

2Benefit Details

Council Name* Council Tax Account Number* Housing Benefit Case Number* Supported Accommodation Provider* Housing Benefit Status*

3Communication Needs

Select all that apply* Please choose at least one option.

Please tell us more*

4Emergency Contact

Emergency Contact – Full Name* Emergency Contact – Relationship* Emergency Contact – Phone Number*Please enter a valid phone number. Emergency Contact – Email (optional)Please enter a valid email address.

5Upload Documents Drag and drop your documents here, or tap to browse PDF, JPG, PNG or Word files, up to 10 MB each (optional)

Additional Notes (optional)

6Permission & Signature

We use the details you give us only to provide the Benefits Guardian Service and to contact the council on your behalf. They are stored securely and are not used for any other purpose.

Please tick the box to give permission.

Full Name (as digital signature)*Please type your full name to sign. Date*Please choose the date.

* Indicates required fields

Thank you, your registration has been sent

Once registered, we will contact you within 24 hours to begin support.

Registration

Register for Benefits Guardian Service

Thank you, your registration has been sent

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Registration

Register for Benefits Guardian Service

Thank you, your registration has been sent

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