Form

Income Support claim form

Use this form to claim Income Support if you're eligible. You may need to apply for Universal Credit instead.

Documents

Details

You can only apply for Income Support if either:

  • you’re entitled to the severe disability premium
  • you were entitled to the severe disability premium within the last month, and are still eligible for it

You may need to apply for Universal Credit instead. Check you’re eligible for Income Support before you apply.

You may not have to fill in this form. The quickest way to apply for Income Support is by phone.

Published 1 October 2013
Last updated 25 July 2017 + show all updates
  1. Updated online helpdesk contact details on A1 Income Support interactive forms (English and Welsh).

  2. Added new A1 Welsh version: Ffurflen gais Cymhorthdal Incwm y gallwch ei chwblhau ar sgrîn – ac yna ei hargraffu.

  3. First published.