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CASEWORK FORM
Please print the
below form and return it to:
Anne
Snelgrove MP, 7 Little London Court, Albert Street, Swindon, SN1
3HY
Or copy and
paste it into an email to annesnelgrovemp@parliament.uk
Please complete the form
in BLOCK CAPITALS, if you do not know the answer then please leave
the box blank.
Surname
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First Name
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Address
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Landlord’s address
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Postcode
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Telephone
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Fax
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E-mail
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Mobile
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Our Ref.
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Housing Benefit Ref
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Date of Birth
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When did you apply?
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Is it…?
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q
New application
q
Other (please specify
below)
q
Change of circumstance
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Please provide further details here
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Promoted by Ray Collins, General Secretary, the Labour Party, on behalf of the Labour Party, both at 39 Victoria Street, London, SW1H 0HA.
Hosted by
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