Discretionary Housing Payment application: Help with a deposit or removal costs

To complete this form, you will need to provide:

• Your current and new address
• The names and dates of births of everyone in your household
• The name and address of the landlord and/or removal company

Tenancy letter and removal quotes

You'll be given the option to upload a document or image of the tenancy letter from your new landlord and/or a quote from the removal company. This helps us make a decision on your application.

Bank details

It's helpful if you can provide the bank details of your new landlord or the removal company. You don't have to provide these but it may take longer to make a Discretionary Housing Payment without the details.

Please enter a Denbighshire postcode and then click the 'Find address' button.

Alternatively, please type in your address below.

Citizens Advice Denbighshire, Pathways and Floating Support can help with;

• Benefits advice
• Debt advice
• Energy and household bills advice
• Housing advice
• Money management and budgeting
• Online Advice Service
• Risk of homelessness
• Fear of Domestic Abuse
• Mental Health Support (e.g. suffering from anxiety, depression as a result of your housing situation
• Learning Disabilities and similar or related support needs (e.g Autism, Asperger’s Syndrome or acquired a brain injury.)

Please tell us the address of the property you are proposing to rent.

Please let us know the information for a DHP for a deposit.

Please provide the landlord's bank details.

Please let us know the information for a DHP for help with removals.

Please provide the landlord's bank details.

Please provide details about savings you have.

Please provide 3 months statements for each account even if they are overdrawn.

Please read each declaration carefully.