Offer to repay a housing benefit overpayment

Use this form to make an offer of repayment if you’ve received a Kirklees housing benefit overpayment invoice.

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Please fill in all parts of this form which are marked with a *

Your contact details

 

Employment status

Are you employed? *
Are you employed?
 

Your benefit claim

Is the overpayment for your home address? *
Is the overpayment for your home address?
 

Your offer of payment

£
When you will make the first payment
When you will make the first payment
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