Fillable Printable Child Benefits Claim Form
Fillable Printable Child Benefits Claim Form
Child Benefits Claim Form
CH2 MM5013727Page 1HMRC 07/13
Child Benefit claim form
Important
Claim now
or you may lose money
Child Benefit cannot be backdated
more than three months
To help you fill in this form use Child Benefit – Getting your claim right(CH2 Notes). These notes also contain important
information that you should read. Please answer all the questions that apply to you, writing clearly in capital letters and send
u
s all the documents we ask for. If you don’t, we may need to get in touch with you which could delay your claim. If you need
more help or information, please go to www.hmrc.gov.uk/childbenefit or phone our helpline on 0300 200 3100or textphone
on 0300 200 3103.
State Pension
Filling in this form helps to ensure that you are registered to receive National Insurance credits if you have a child under 12 and
either look after the child at home, or work but don’t earn enough to pay National Insurance contributions. These ‘credits’ can
help to protect your State Pension.
The information below only applies to you if your or your partner’s individual income is more than
£50,000 a year. If it does not apply, please go straight to page 2 and fill in this claim form.
Completing this form
also helps to protect your
State Pension
For more information go to
www.hmrc.gov.uk/chbprotectpension
Important change if you or your partner have an individual income of more
than £50,000 a year
From 7 January 2013 if either you or your partner have an individual income of more than £50,000 a year, then the partner
with the higher income will have to pay a High Income Child Benefit Charge on some, or all, of the Child Benefit you receive.
If these changes apply to you or your partner you should jointly decide whether to stop getting Child Benefit payments,
and not have to pay a tax charge, or continue getting Child Benefit payments and declare them for tax purposes.
Filling in the Child Benefit claim form also ensures that you are registered to receive National Insurance credits which can
help to protect your State Pension. It is therefore really important to fill in the form if you have a new child in your family
even if you do not wish to receive the Child Benefit payments. Part 4 of this claim form lets you tell us if you want to be paid
Child Benefit.
1. I have an income between £50,000 and £60,000. Should I still claim and be paid my Child Benefit?
The tax charge applies at a rate of 1% of the Child Benefit paid for every £100 of income over £50,000. If you or your
partner have an individual income between £50,000 and £60,000 the tax charge will be less than the total amount of
Child Benefit so you might like to keep getting Child Benefit payments and declare them for Income Tax purposes.
2. I have an income of more than £60,000. Should I still claim, even if I don’t want to be paid
Child Benefit and not pay the tax charge?
If you or your partner have an individual income of more than £60,000 the tax charge will be equal to the total amount of
Child Benefit so you might wish to stop receiving payments and not have to pay a tax charge. But it is really important to
fill in the Child Benefit form if you have a new child in your family.
Completing the Child Benefit claim form ensures you are registered to receive National Insurance credits which can help to
protect your State Pension and help your child get their National Insurance number.
For more information please read the notes with this form or go to www.hmrc.gov.uk/childbenefitcharge.htm
Page 2
T
itle for example Mrs, Miss, Ms, Mr, Dr
Y
our surname or family name
Your first name and any middle name(s)
Have you ever been known by any other surname
or family name? Include your maiden name
No
YesIf Yes, please write it below
Your date of birth DD MM YYYY
Your address
Have you lived at this address for more than 12 months?
NoIf No, please go to question 8
YesIf Yes, please go to question 9
Please tell us your last address
1
2
3
First name
Middle name(s)
4
5
6
Postcode
7
8
Postcode
Do you have a National Insurance (NI) number?
S
ee page 3 of the CH2 Notes
No
Y
esIf Yes, please tell us your NI number
Example of a National Insurance number XX 99 99 99 X
Your phone number(s)
Have you claimed Child Benefit for any child(ren) before?
NoIf No, go to question 14
YesIf Yes, go to question 12
Tell us your Child Benefit numberif you know it
Example of a Child Benefit number CHB 99999999 XX
You can find your Child Benefit number on letters
we have sent you or on your bank statements
If you don't know your Child Benefit number you should
still claim now
Are you currently entitled to Child Benefit?
No
YesIf Yes, please tell us the full name and date
of birth of the eldest child you are entitled
to or getting Child Benefit for, then go to
question 23
Child’s date of birth DD MM YYYY
11
10
Daytime number
Evening number
1
2
CHB
13
Child’s surname
Child’s first name
Child’s middle name(s)
9
1 – About you
For office
use 1
Page 3
If youhavebeen subject to immigrationcontrol in the
last three months, tell us the date your immigration status
was grantedDD MM YYYY
Please send a copy of your Home Office documents to
us with this form
Are you now, or have you at any time in the last three
months, worked in another country or received benefit
from another country?
No
YesIf Yes, please tell us the name of the country
Are you a member of HM Forces or a civil servant
working abroad?
NoYes
What is your marital or civil partnership status?
Please tick one box
Married or in a civil partnershipGo to question 24
Living with a partneras if you
are married or a civil partnerGo to question 24
WidowedGo to question 32
SeparatedGo to question 32
DivorcedGo to question 32
SingleGo to question 32
2
2
2
0
2
1
23
What is your nationality?
This is shown on your passport if you have one
Have you alwayslived in the UK?
By this we mean you have never lived outside the UK
See page 3 of the CH2 Notes
NoI have lived outside the UK
Go to question 16
YesI have always lived in the UK
Go to question 21
Do you usually live in the UK?
See page 3 of the CH2 Notes
No
YesIf Yes, go to question 18
Which country do you usually live in?
Go to question 19
Did you arrive in the UK in the last three months?
No
YesIfYes,tell us the date you arrived
DDMM YYYY
Are you subject to immigration control now, or have you
been at any time in the last three months?
See page 3 of the CH2 Notes
NoIf No, go to question 21
Yes
1
4
15
17
16
18
19
1 – About you continued
For
office
use 2
Page 4
Is your partner a member of HM Forces or a civil servant
working abroad?
NoYes
What is your partner’s nationality?
This is shown on their passport if they have one
Does your partner now, or have they at any time in the
last three months, worked in another country or received
b
enefit from another country?
No
Y
esIf Yes, tell us the name of the country
Is your partner receiving Child Benefit now or are they
waiting to hear if they can get Child Benefit?
NoIf No, go to question 32
Yes
2
4
2
6
27
25
Your partner’s full name and date of birth
Partner’s date of birth DD MM YYYY
Your partner’s National Insurance number
See page 3 of the CH2 Notes
Example of a National Insurance number XX 99 99 99 X
Your partner’s Child Benefit number if you know it
Example of a Child Benefit number CHB 99999999 XX
Their Child Benefit number is on any letters we have
sent them
If you don't know their Child Benefit number you should
still claim now
The full name and date of birth of the eldest child your
partner is receiving Child Benefit for
Child’s date of birth DD MM YYYY
Child’s surname
Child’s first name
Child’s middle name(s)
2
9
2
8
31
CHB
3
0
Please note
For each child in this claim we need to see their:
• birth certificate (full or short version), or
• adoption certificate.
If any child in this claim was born outside the UK we also
need to see their passport(s) or their travel documents used
to enter the UK
We do not accept photocopies of birth certificates
If you don’t send the documents we need with the claim form,
a decision on your claim will be delayed.
How many children are you claiming for on this form?
How many birth certificates are you sending
with this form?
We do not accept photocopies
of birth certificates
We don’t need to see a birth certificate for a child
that has been claimed for by you or someone else
in the past
Please now go to
question 34
32
33
2 – About your partner
3 - Children you want to claim for
You don’t need to tell us about children you already get Child Benefit for.
Important
If no-one else has claimed Child Benefit for the children named on this form, send us their birth certificate(s)
Partner’s name
Page 5
Name
3 – Children you want to claim for continued
Name
N
ame
Name
Social worker
Child 1 continued
Does this child live with you? See page 4 of the CH2 Notes
No
YesIf Yes, go to question 43
What is the name and address of the person this child
lives with?
Has this child lived with anyone else in the last 12 months?
See page 4 of the CH2 Notes
NoIf No, go to question 46
Yes
What is the name and address of the person this child
lived with?
What date did the child come to live with you?
DD MM YYYY
Are you adopting or planning to adopt this child through
a local authority?
NoYes
Do you want to claim for any more children now?
NoIf No, go to question 62
YesIf Yes, go to question 48
47
4
1
P
ostcode
4
2
Postcode
46
45
44
43
Name
C
hild 1
Child's surname or family name
As shown on the birth or adoption certificate
Child's first name and any middle name(s)
As shown on the birth or adoption certificate
Is this child male or female?
Male
Female
Child’s date of birth DD MM YYYY
Has this child ever been known by any other name?
No
YesIf Yes, please write it below
Is this child your own? See page 4 of the CH2 Notes
NoYes
Has anyone else ever claimed Child Benefit for this child?
See page 4 of the CH2 Notes
NoIf No, go to question 41
YesIf Yes, please tell us their name and address
Go to question 41
F
irst name
Middle name(s)
34
3
6
3
7
3
8
35
Postcode
40
39
Name
Name
Name
For
o
ffice
use 4
For
office
use 3
For
office
u
se 6
For
office
use 5
For official use only
Page 6
3 – Children you want to claim for continued
Child 2 c
ontinued
Does this child live with you? See page 4 of the CH2 Notes
No
YesIf Yes, go to question 57
What is the name and address of the person this child
lives with?
Has this child lived with anyone else in the last 12 months?
See page 4 of the CH2 Notes
NoIf No, go to question 60
Yes
What is the name and address of the person this child
lived with?
What date did the child come to live with you?
DD MM YYYY
Are you adopting or planning to adopt this child through
a local authority?
NoYes
Do you want to claim for any more children now?
NoIf No, go to question 62
YesIf Yes, go to page 7 of the CH2 Notes. Fill in
the additional sheet then go to question 62.
61
5
5
P
ostcode
5
6
Postcode
60
59
58
57
Name
Child 2
Child's surname or family name
As shown on the birth or adoption certificate
Child's first name and any middle name(s)
As shown on the birth or adoption certificate
Is this child male or female?
Male
Female
Child’s date of birth DD MM YYYY
Has this child ever been known by any other name?
No
YesIf Yes, please write it below
Is this child your own? See page 4 of the CH2 Notes
NoYes
Has anyone else ever claimed Child Benefit for this child?
See page 4 of the CH2 Notes
NoIf No, go to question 55
YesIf Yes, please tell us their name and address
Go to question 55
First name
M
iddle name(s)
50
5
1
5
2
4
9
4
8
Postcode
54
53
Name
Name
Name
For
office
use 8
For
office
use 7
For
o
ffice
use 10
For
office
use 9
For official use only
Page 7
Please note
We normally pay Child Benefit every four weeks into a
bank or building society account
Page 5 of the CH2 Notes tells you if you can be paid
every week
Do you want to be paid Child Benefit every week?
NoIf No, go to question 65
YesIf Yes, go to question 64
To get Child Benefit every week please tick all boxes which
apply to you or your partner
I am a single parent
I or my partner receive one or more of the following:
• Income Support
• income-based Jobseeker’s Allowance
• Pension Credit
• income-related Employment and Support Allowance.
Do you already get Child Benefit?
NoIf No, go to question 67
Yes
Doyouwant to change thebankorbuilding societywe pay
your Child Benefit into?
NoIf No, please go to the Declarationon page 8
Yes
64
63
65
66
Please note
Read page 5 of the CH2 Notes before filling in this section
We can’t pay into an account that is in a child’s name
Please tick the box which applies to you
The account is in my name, go to question 68
The account is in someone else’s name
Tell us the name in the box below
The account is in joint names
Tell us the names in the boxes below
Name of your bank or building society
If you have a Post Office®cardaccount write ‘Post Office’
Your branch sort code. See page 5 of the CH2 Notes
Your account number. See page 5 of the CH2 Notes
If your account is with a building society tell us the roll
or reference number if you have one
See page 5 of the CH2 Notes
If you do not have an account that
we can pay into please put an ‘X’ in this box
Name 1
Name 2
67
68
69
——
70
71
72
5 – How you want to be paid
For
office
use 12
For
office
use 13
For
office
use 14
For
office
use 15
4 –Higher income earners
Please note
Only fill in question 62 if either you or your partner have an
individual income of more than £50,000 a year.
If you or your partner have an individual income of:
• more than £60,000 a year - a tax charge equal to the
Child Benefit payment will apply, so you may not wish to
be paid Child Benefit
• between £50,000 and £60,000 a year - a tax charge of
less than the Child Benefit payment will apply, so you may
wish to be paid Child Benefit.
If you are not sure if either you or your partner have an
individual income of more than £50,000 see page 2 of the
CH2 Notes.
Do you want to be paid Child Benefit?
See page 5 of the CH2 Notes
NoI don’t want to be paid Child Benefit, but I
want to protect my State Pension.
G
o to the Declaration on page 8
YesI want to to be paid Child Benefit.
I understand that I or my partner may
have to pay an Income Tax charge.
G
o to question 63
62
6 – Bank details
Important
Please complete the Declaration on page 8.
For
o
ffice
use 11
Page 8
For official use only
CorresTracedCLI
Birth certificate
Normal
PassportRecorded
OtherRegistered
Date claim received
Document(s) returned
Declaration
Please now tick the boxes that apply to you and sign this form to claim Child Benefit.
I am sending the birth certificate(s)or other documents that you need with this form.
If you don’t send the documents we need with this claim form, a decision on your claim will be delayed.
Do not send photocopies.
I declare that the information I have given on this form is correct and complete.
If I give information which I know is not correct or complete, you may take action against me.
Signature
Help
If you need more help or information,
please go to hmrc.gov.uk or phone
our helpline.
If you have a change in your
circumstances please write to us at:
Child Benefit Office
PO Box 1
NEWCASTLE UPON TYNE
NE88 1AA
When you get in touch with us
please tell us:
•your full name
•your National Insurance number
•your Child Benefit number
(if you know it or have one), and
•a daytime phone number.
If you are in the United Kingdom:
•Helpline 0300 200 3100
•Textphone 0300 200 3103
•Ffoniwch 0300 200 1900
i dderbyn fersiynau Cymraeg o
ffurflenni a chanllawiau.
If you are overseas:
Helpline 00 44 161 210 3086
For information about other money
you may be entitled to, please read
page 6 of Child Benefit — Getting
your claim right (CH2 Notes).
Documents we need
You need to send us these documents with your claim form:
•The birth certificate or adoption certificate for each child in this claim.
Do not send photocopies of birth certificates.
If you don’t send the documents we need with the claim form, a decision on
your claim will be delayed.
•Extra pages you’ve filled in if you want to claim for more than two children.
•Any Home Office documents that we’ve asked you to send us. I
f any child in this
claim was born outside the UK we also need to see their passport(s) or their travel
documents used to enter the UK.
Make sure we have the right address to return your documents. If you move without
telling us your new address we will be unable to return your documents and we may
destroy them.
If we believe that any of the documents you send us are not genuine, we may
keep them.
What to do now
Please fill in the address label and include it in the enclosed envelope with this claim
form and any documents or pages from the list above.
If you don’t have an envelope send this form to:
Child Benefit Office (GB)
Washington
NEWCASTLE UPON TYNE
NE88 1ZD
We will normally send the document(s) back to you within four weeks. When we have
dealt with your claim we will write to tell you if you can get Child Benefit and if so
how much.
Date DD MM YYYY
F
or
office
use 16
Address label – please fill in and send this back with your completed claim form.
Please fill in your name and address above in block
capitals using a black pen and send this address label
back to us with your completed claim form.
Important– if you don’t send this address label with your claim form, it may take us longer to send
your documents back to you and to make a decision on your claim.
Make sure your postcode is shown correctly
within the boxes
Example
Postcode XX1 6AA would be shown as
Name
Address line1
Address line 2
Town/City
County
Postcode
X
X
1
6A
A
CH3 (Address label) 7002163 HMRC 04/13
Your documents
Thank you for sending us your claim form. I have enclosed your
birth certificate(s).
other document(s).
You do not need to do anything – we will write to you again as soon as we have made a decision
about your claim.
HMRC use only – we will use this when we send your documents back to you.
