Form

Carer's Credit application form

An application form for Carer's Credit to print and fill in with a pen.

Documents

Carer's Credit application form

Carer’s Credit Care Certificate

Carer's Credit notes

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gsi.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Credyd Gofalwr Ffurflen gais

Tystysgrif Gofal Credyd Gofalwr

This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (eg a screen reader) and need a version of this document in a more accessible format, please email accessible.formats@dwp.gsi.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Credyd Gofalwr Nodiadau

Detail

You don’t need to use this form if you:

  • already get Carer’s Allowance
  • get Child Benefit for a child under 12
  • are a foster carer and get National Insurance credits from HM Revenue & Customs

How to apply

To find out more about Carer’s Credit and if you can get it, go to www.gov.uk/carers-credit

The carer or their representative must fill in this form, not the person being looked after. They must print the form and fill it in with a pen.

Request a printed version or different format

If you need a printed version of this form or a different format (braille, for example), please contact the Carer’s Allowance Unit.