Household details
  About the Claimant   About their partner (if they have one) - if no partner enter "0" in age box  
Age (18-60)    
Do they have limited capability for work?
Disability - do they have care needs?
Disability - do they have mobility needs?
Disability - do they have a carer who receives carer's allowance to look after them?
Do they provide regular and substantial care for a severely disabled person
How many children are in the household?    
Are any children under the age of 1?
Disability - do any of them have care needs as a result of a disability?
Disability - do any have additional mobility needs as a result of a disability?
Rent per week    
Does the household live in Greater London?                                                     
entitlement per wk- 2010 & 2020
  2010 2020
  Cash  2020 prices  
Personal Allowance
ESA addition
Disability Premia £0.00
Carer Addition
Child Tax Credits/Child element UC
Child Benefit
DLA - care
DLA- mobility
Housing Benefit
Benefit Cap Reduction Not Applicable Not Applicable
Total (per week)