Application / appeal form for the Secretary of State, HM Revenue and Customs and local authorities for social security, child support, tax credits and housing benefit and council tax benefit cases
Published date | 21 March 2018 |
Subject Matter | Administrative Appeals Chamber (Upper Tribunal) forms |
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UPPER TRIBUNAL ADMINISTRATIVE APPEALS CHAMBER
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Office stamp (date received) |
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APPLICATION FOR PERMISSION TO APPEAL or NOTICE OF APPEAL from First-tier Tribunal (Social Entitlement Chamber) |
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This form is for use only by the Secretary of State, Her Majesty’s Revenue and Customs, the Child Maintenance and Enforcement Commission or a local authority (other than as a compensator). |
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Please |
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Use black ink |
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Use another sheet of paper if there is not enough space for you to say everything. (Please put the names of the Appellant and Respondent(s) at the top of the sheet.) |
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Complete the form in CAPITALS |
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About the Appellant |
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Is the Appellant the Secretary of State, Her Majesty’s Revenue and Customs, the Child Maintenance and Enforcement Commission or a local authority? |
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Secretary of State |
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Child Maintenance and Enforcement Commission |
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Her Majesty’s Revenue and Customs |
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Local authority |
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Name of authority |
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Please give details of the Appellant's representative to whom correspondence should be sent. |
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Name of representative |
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Address of representative |
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Postcode |
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Daytime telephone number |
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Reference no. (if any) |
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B |
About the Respondents |
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First Respondent |
Surname |
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Other names |
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Address |
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Postcode |
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B (continued) |
About the Respondent(s) |
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Second Respondent (if any) |
Surname |
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Other names |
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To continue reading
Request your trial