Form

Appeal an HMRC decision on a benefit or credit: Form SSCS5

Use this form to appeal a decision made by HM Revenue and Customs (HMRC) about tax credits and other benefits. See the list of benefits in the form or guidance.

Applies to England, Scotland and Wales

Documents

Notice of appeal against a decision of HM Revenue and Customs (SSCS5)

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Large print - Notice of appeal against a decision of HM Revenue and Customs (SSCS5)

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

You can use this form to appeal a decision made by HMRC about:

  • tax credits
  • child benefit
  • guardian’s allowance
  • tax-free childcare 
  • 30 hours’ free childcare
  • guaranteed minimum pension
  • home responsibilities protection
  • national insurance credits 

Before completing the form please read the guide How to appeal against a decision made by HM Customs and Revenue (SSCS5A).

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Published 28 March 2018
Last updated 12 December 2023 + show all updates
  1. Added Welsh SSCS5A

  2. Created a Welsh version of the page

  3. First published.