Carer's Credit application form

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


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


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

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.

Published 4 April 2013
Last updated 4 February 2020 + show all updates
  1. Added updated versions of the CC1 form, certificate and notes in English and Welsh.

  2. Added updated English versions and new Welsh versions - June 2015.

  3. Added latest version.

  4. Update to the Carer's Credit application form (PDF).

  5. First published.