Apply for Cost of Living Assistance Funding

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

  • About your data
    We will ask you for information in order to handle your application and we will use it to contact you. Our privacy policy explains how we handle your personal data.

  • Household details

  • Financial statement

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

  • Income

  • Regular expenditure

  • 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.

  • 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


Sign up for email updates

Receive information on council services, news and events by email.

© 2023 Basingstoke and Deane Borough Council