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

Ref: CC1 application form PDF, 105KB, 8 pages

Carer’s Credit Care Certificate

Ref: CC1 care certificate PDF, 84.3KB, 2 pages

Carer's Credit notes

Ref: CC1 notes PDF, 107KB, 8 pages

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

Ref: CC1 Ffurflen gais PDF, 105KB, 8 pages

Tystysgrif Gofal Credyd Gofalwr

Ref: CC1 Tystysgrif Gofal Credyd Gofalwr PDF, 86.2KB, 2 pages

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

Ref: CC1 Nodiadau PDF, 109KB, 8 pages

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.

Published:
Updated:

+ full page history

Added updated English versions and new Welsh versions - June 2015.
Added latest version.
Update to the Carer's Credit application form (PDF).
First published.
From:
Department for Work and Pensions