Benefit and Contributions Assessment Referral

Please use this form to refer individuals for information and advice, including home visits assessing their financial needs and entitlement to a variety of financial benefits, as mentioned on the previous page. If the individual is in need of social care, please contact the Worcestershire Hub on 0845 607 2000 or use the any of the other contact details provided on the left hand side of this page. Thank-you.

Online Referral Form

Note 1 - Internal Use Only

(Verbal Consent is to be obtained from the customer)

In Worcestershire the County Council The Pension Service (DWP) and your local District Council are working together to provide you with a streamlined service.  Are you happy for us to share your information between these agencies?