This form is encrypted using the HTTPS Protocol (Same as online banking) and the information entered will be delivered securely to the benefits team, who will treat the information with the strictest confidence
No fields on the form are mandatory, but we ask you to enter as much information as your feel able.
The last page has the ability to enter extra comments and information. This page also has the facility to upload documents, pictures and other electronic media.
© 2020 West Berkshire Council