Discretionary Housing Payment (DHP)

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An email confirmation will be sent to this address

Application form


Extra help to pay your rent for people on Housing Benefit (HB) or Universal Credit (UC)

Please give us as much information as possible as this will help us to process your application as quickly as we can

Welfare Reform Team Oxford City Council St Aldate's Chambers 109-113 St Aldate's Oxford OX1 1DS
Telephone: 01865 252755 Text: 07786202241 Email: welfarereform@oxford.gov.uk

This form is for Oxford residents whose postcodes starts with OX1, OX2 OX3 or OX4.

click link below to find your local authority
If you do not reside in one of the above postcodes, please contact your local authority.
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Part 1: About you (the applicant)


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An email confirmation will be sent to this address
 (if applicable)
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 (if applicable)
 Date format is dd/mm/yyyy
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 Date format is dd/mm/yyyy
 Example XX123456X
Please enter a valid National Insurance number
 Example XX123456X
How did you hear about Discretionary Housing Payment (DHP) and/or the Welfare Reform Team? (optional)
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Part 2: About your circumstances


Tell us about your circumstances
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Are you getting help from anyone at the moment e.g. advice centre, Aspire, Connection, Crisis, Mind, Social Services, Tenancy Sustainment, etc?
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Part 3: About your DHP award


DHPs provide short-term financial help for people who are working towards improving their situation so they can afford to pay their rent without this support in the future.
Whether you are applying for a new award or reapplying for a DHP, please explain which of the following options are you taking or are prepared to take to improve your situation so that you can afford to pay your rent yourself in the future.
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 Date format is dd/mm/yyyy
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Part 4: About your financial situation - Income


Income information



Pension Information


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Savings / other information


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Part 4: About your financial situation - Bills


Tell us about your general bills

Household outgoings


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Part 4: About your financial situation - Housekeeping


Tell us about your housekeeping costs

Household outgoings


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Part 4: About your financial situation - Debts


Tell us about your debts and how much you are paying off on a regular basis.

You do not need to include information about any Housing Benefit over payments or Council Tax arrears as we hold this information on our records.

Debt repayments


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Part 5 : About your Universal Credit (UC) award


Please complete this part only if you are in receipt of Universal Credit (UC). If you are not in receipt of Universal Credit (UC) please click continue to proceed to move to part 6
You must provide to us all the information listed below or we will not be able to assess your DHP application.
  • If you are a housing association or a private tenant, you must provide proof of your rent to us. This could include a tenancy agreement, letter from your landlord, rent statement or a bank statement showing your rent payments.
  • If you are a council tenant we do not need this information.
  • Please provide a screenshot or print out of your Universal Credit award breakdown from your UC account showing your award amount and how it was calculated.
If you do not upload the relevant documents it could delay the processing of your application.


Please upload one or more attachments
Checklist of uploaded information - please tick once attached
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Part 6: Bank account details


Please provide bank account details of the account to which you would like to receive any DHP award.

 e.g. ABC Bank
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 e.g. ABC Bank
 e.g. Name as it appears on your bank statement (Mr A Nother)
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 e.g. Name as it appears on your bank statement (Mr A Nother)
 8 digit account number e.g. 12345678
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 8 digit account number e.g. 12345678
 6 digit number which identifies your bank e.g. 01-34-56
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 6 digit number which identifies your bank e.g. 01-34-56
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Part 7: Equal opportunities monitoring information (optional)


We need to monitor how we distribute the payment. Please help us do this by ticking the boxes which you feel best apply to you.
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Q2 What is your gender
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Q3 What is your sexual orientation?
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Q5 Do you have difficulties reading or writing English?
Q6 Is English your 1st language?
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Part 8: Declaration


I DECLARE THAT THE INFORMATION I HAVE GIVEN ON THIS FORM IS CORRECT AND COMPLETE.

  • If I give incorrect or incomplete information, the council may take action (including court action) against me.
  • The council will use the information I have given to assess my claim for Discretionary Housing Payment (DHP), and I agree that the council can verify this if needed.
  • I will tell the council about any changes in my circumstance that may affect my claim.
  • The personal data that we hold against your (benefit/rent/council tax/non-domestic rates) records will be used for the legal requirement to administer your application for Discretionary Housing Payments (DHP). This information gathered can be from discussing your case in person, in writing, electronically or over the telephone.
  • We will not use your personal information for marketing or credit reference agencies.
  • Legally we are required to send your data to other government agencies, such as HMRC, DWP, Valuation office and MHCLG. We also are part of the National Fraud Initiative where every two years we send your data to the Cabinet Office to ensure that the data held is correct and for fraud prevention against the public purse. This data sharing will be for all people associated with your property.
  • We also use other companies for the processing of your account such as enforcement agencies and computer software providers. We also share your information with other departments within the council that provide different services that may be of benefit to you.
  • We will only discuss your claim with your landlord if you give us permission to do so. We can also discuss your claim with third party agencies, such as Welfare Rights or Citizens Advice who may be helping you with your finances. You will have to give us permission to do this.
  • We will hold your data for as long as you are active to our databases. When your account or claim becomes dormant, we will hold it for six years for financial accounting purposes. After this period of time you have the right to be forgotten and can write to us to remove all of your data from our records.
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If someone filled in the form for you, please fill in their details below and to tick the declaration below.