Propose a payment plan proposal to repay housing benefit overpayment if you cannot pay the full amount.

If you are unable to pay the full amount of the housing benefit overpayment as shown on the notice but wish to propose a payment plan to clear the amount owed please complete the following form.

Your name *

Your address *

Your postcode *

Address the overpayment relates to, if different to the above

Telephone number (daytime) *

Email address

Claim number *

Invoice number *

Employer's name *

Your job title *

Address of workplace *

Payroll reference number *

Expected Net Earnings (after deductions/take home pay) please state whether weekly or monthly: £ *

Which benefits do you receive? *

If other, please specify

Do you receive a state pension *

Yes
No

I wish to propose a payment plan of: £ *

I wish to commence payment on *

Please choose a frequency for your payment *

Weekly
Fortnightly
Monthly

Do you want an Allpay card ordered so you can pay at Post Offices or PayPoint outlets? *

Yes
No

The council will notify you in due course if your offer to clear the overpayment is acceptable. Please note that we may not accept your offer of payment if it will take too long to clear the amount owed.

Please enter any other information you believe we should know about

Spam guard

Housing Benefit Overpayment Payment Proposal