Cost of Living Assistance Fund Application

Cost of Living Assistance Fund Application
  • Please complete this form to make an application for financial support from the Cost of Living Assistance Fund.

  • Privacy Statement

    Basingstoke and Deane Borough Council is the data controller for the personal information you may provide. You can contact us by phone on 01256 844844, via email to customer.service@basingstoke.gov.uk or by writing to us at Civic Offices, London Road, Basingstoke, RG21 4AH. The Council’s Data Protection Officer can be contacted at dpo@basingstoke.gov.uk.

    The personal information you provide will be used to process your request for assistance from the Cost of living Assistance Fund.

    • We may share your information with other teams within the council in order to provide a service to you, to ensure our records are kept up to date or otherwise where we are required to do so.
    • We will not disclose any information to other organisations unless we are required by law to do so or to prevent fraud, however if your application is successful, it will be necessary for us to share your name and contact details with a third party for a supermarket voucher/Post Office payout code to be issued to you.
    • Your personal details will only be held as long as is needed for this purpose and in accordance with our retention policy.

    Please read our privacy statement for information on how we collect, use, and keep your personal information.

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  • Household details

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  • Financial statement

  • Please complete the information below for either monthly or weekly income

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  • Income

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  • Regular expenditure

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  • Reason for application

  • Please use the box below to explain why you are seeking financial support from the Cost of Living Assistance Fund. Please be sure to include details of any current arrears with utility/energy bills.

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  • Evidence requirement:

  • Once you have submitted your application you will be contacted to provide the evidence required to consider your application.

    This will include a recent bank statement for the account(s) normally used by you to pay your bills, proof of your identification and your most recent wage slip(s).

    By submitting this application you confirm that you are experiencing financial difficulty and that the information given is an honest and true reflection of your current financial position.

    To help us avoid abuse of our system, please enter the correct answer to the question below:

 

Contact us

  • Contact us online
  • 01256 844844
  • Civic Offices
    London Road
    Basingstoke
    RG21 4AH
  • Opening hours
    Monday to Friday
    8.30am to 4.30pm