Havering Housing Benefit

Disputes and Appeals Form

Your Dispute / Appeal

Please complete this form and take or send it to us within one month of the decision you are appealing / disputing.

If you disagree with a decision that has been made regarding your Housing Benefit claim you can either ask us for an explanation, ask us to reconsider the decision, or appeal the decision. Please tick the relevant box below to confirm what action you would like to take:
/ Ask for an explanation – you will be given a full explanation of the decision.
/ Dispute the decision – you can ask us to look at the decision again. The decision will then be reconsidered by a different officer. Requesting a reconsideration will not affect your right of appeal, as if the decision is not revised an explanation will be provided and you will be issued with new appeal rights.
/ Appeal the decision. If you wish to appeal the decision your appeal will be submitted to The Appeals Service (TAS) who will arrange for the decision to be considered by an independent appeals tribunal. You can ask for a paper hearing or an oral hearing. If an oral hearing is requested you will be notified by TAS of the time and location of the hearing for you to attend.
About You
Title / Mr/Mrs/Miss/Ms
Your Surname
All other names
Your Date of Birth / / / / HB ref no:
National Insurance (NI) number

Your address

Postcode
Daytime phone number
About the Decision
Please state which decision you
are disputing / appealing against. / Housing Benefit
Date of the letter about the decision / / /
About your dispute / appeal
  • Use the space at the end of this form to say why you do not agree with the decision
  • You must say why you think the decision is wrong. It is not enough to say “I do not agree with the decision” or “I need more money”.
  • The reasons you give should be like these examples:
  • “My rent was £75 per week but you have stated it was £35 per week
  • “I moved into the property on 1 July not 1 August”
  • I earn £150 per week but you have stated it was £250 per week
/
  • If you are disputing / appealing against more than one decision, you must say why you do not agree with each one.
  • Remember, your dispute / appeal must reach our office within one month of the date of the letter telling you about the decision.
  • If you are disputing / appealing more than one month after the decision was made, you must say why your dispute / appeal has been delayed.

Your Signature
Your signature
Date / / /

If you have a Power of Attorney, they should sign here. If you have asked someone to help you with your dispute / appeal you should provide their full name and address below:

Your representative’s full name
Their address
Postcode
Sign this box to authorise this person to act as your representative.
Your dispute / appeal
  • Use this space to say why you do not agree with the decision.
  • You must say why you think the decision is wrong.

Please bring your form to:
Public Advice & Service Centre
Second Floor
Liberty Shopping Centre
Romford
RM1 3DD / Or post it to:
Benefits Services
London Borough of Havering
Town Hall
Main Road
Romford
RM1 3BB