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//-->Child Benefit claim formClaim nowor you may lose moneyChild Benefit cannot be backdatedmore than 3 monthsCompleting this formalso helps to protect yourState PensionFor more information go towww.gov.uk/child-benefit/what-youll-getImportantTo help you fill in this form use guidance CH2 Notes, ‘Child Benefit – Getting your claim right’. These notes also containimportant information that you should read. Please answer all the questions that apply to you, writing clearly in capital lettersand send us all the documents we ask for. If you don’t, we may need to get in touch with you and this could delay your claim.If you need more help or information:• go towww.gov.uk/child-benefit•phone the Child Benefit Helpline on0300 200 3100• textphone the Child Benefit Helpline on0300 200 3103State PensionFilling in this form helps to ensure that you are registered to receive National Insurance credits if you have a child under 12 andeither 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.Important change if you or your partner have an individual income of morethan £50,000 a yearSince 7 January 2013, if either you or your partner have an individual income of more than £50,000 a year (income from allsources before personal allowances and tax is taken off, less any pension and gift aid contributions), then the partner with thehigher 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 canhelp to protect your State Pension. It is therefore really important to fill in the form if you have a new child in your familyeven if you do not want to receive the Child Benefit payments. Part 4 of this claim form lets you tell us if you want to bepaid 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 yourpartner have an individual income between £50,000 and £60,000 the tax charge will be less than the total amount ofChild 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 paidChild 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 amountof Child Benefit so you might want to stop getting payments and not have to pay a tax charge. But it is really importantto fill in the Child Benefit form if you have a new child in your family.Filling in the Child Benefit claim form ensures you are registered to receive National Insurance credits which can help toprotect your State Pension and help your child get their National Insurance number.For more information, please read the notes with this form or go towww.gov.uk/child-benefit-tax-chargeCH2 MM 5014854Page 1HMRC 07/161 About you1TitleFor example Mrs, Miss, Ms, Mr or Dr.9Your phone number(s)Daytime numberEvening number2Your surname or family nameWhat time of day is best for us to phone you?For example, morning, afternoon or evening (we areonly able to call up to 7pm).3Your first name and any middle name(s)First nameMiddle name(s)10Do you have a National Insurance number?Read page 3 of the CH2 Notes.No4Have you ever been known by any other surnameor family name?Include your maiden name.NoYesIf Yes, write it belowYesIf Yes, tell us your National Insurance number.Example of a National Insurance number - QQ123456A11What is your nationality?This is shown on your passport if you have one.Nationality5Your date of birthDD MM YYYY12Have you claimed Child Benefit for any child(ren) before?NoIf No, go toquestion 15If Yes, go toquestion 13For officeuse 16Your addressYes13PostcodeTell us your Child Benefit number if you know itThis should beyourChild Benefit number and not yourpartner’s. You can find your Child Benefit number onletters we have sent you. Example - CHB 99999999 XX.7Have you lived at this address for more than 12 months?NoYesIf No, go toquestion 8If Yes, go toquestion 9C H BIf you don't know your Child Benefit number, you shouldstill claim now – you don’t need to answer this question.14Are you currently entitled to Child Benefit?NoYesIf Yes, tell us the full name and date ofbirth of theeldest child you are entitledto or currently receiving Child Benefit for,then go toquestion 24.8Please tell us your last addressPostcodeChild’s surnameChild’s first nameChild’s middle name(s)Child’s date of birth DD MM YYYYPage 21 About you15continuedAbout you22continuedHave you always lived in the UK?By this we mean you have never lived outside the UK.Read page 3 of the CH2 Notes.NoI have lived outside the UK - go toquestion 16I have always lived in the UK - go toquestion 24Are you now, or have you at any time in the last3 months, worked in another country or receivedbenefit from another country?NoYesIf No, go toquestion 23If Yes, tell us the name of the countryYesCountry16Do you usually live in the UK?Read page 3 of the CH2 Notes.NoYesIf No, go toquestion 17If Yes, go toquestion 1823Are you a member of HM Forces or a civil servantworking abroad?NoYes2417Which country do you usually live in?CountryWhat is your marital or civil partnership status?Please tick 1 box. We consider you single forChild Benefit purposes unless you live with a partner.Married or in a civil partnershipLiving with a partner as if youare married or a civil partnerWidowedSeparatedGo to question 25Go to question 1918Tell us the date you arrived in the UKDD MM YYYYGo to question 25Go to question 34Go to question 34Go to question 34Go to question 3419Are you subject to immigration control now, or have youbeen at any time in the last 6 months?Read page 3 of the CH2 Notes.NoYesIf No, go toquestion 21DivorcedSingle20Forofficeuse 2If you have been subject to immigration control in thelast 3 months, tell us the date your immigration statuswas grantedDD MM YYYYPlease send a copy of your Home Office documents tous with this form.212 About your partner25Your partner’s full name and date of birthDD MM YYYYWhat is your employment status?Please tick the box or boxes that apply. Remember youonly need to answer this question if you have ever livedoutside of the UK.Looking for work in the UKWorking in the UKSelf-employed in the UKNone of these – I have enough money to supportmy family in the UK26Your partner’s National Insurance numberRead page 3 of the CH2 Notes.Example of a National Insurance number - QQ123456A.27Your partner’s nationalityThis is on their passportNationalityPage 32 About your partner28continued31What is your partner’s employment status?Please tick the box or boxes that apply.Looking for work in the UKEmployed in the UKSelf-employed in the UKIs your partner entitled to Child Benefit now or are theywaiting to hear if they can get Child Benefit?NoYesIf No, go toquestion 3432None of these – they have enough money to supporttheir family in the UK29Your partner’s Child Benefit number if you know itTheir Child Benefit number is on any letters we havesent them. Example - CHB 99999999 XX.Is your partner a member of HM Forces or a civil servantworking abroad?NoYes33C H BIf you don't know their Child Benefit number you shouldstill claim now, you don’t need to answer this question.30Does your partner now, or have they at any time in thelast 3 months, worked in another country or got benefitfrom another country?NoYesCountryWhat is the full name and date of birth of the eldest childyour partner is entitled to Child Benefit for?DD MM YYYYChild’s surnameChild’s first name(s)If No, go toquestion 31If Yes, tell us the country3 Children you want to claim forYou don’t need to tell us about children you already get Child Benefit for.ImportantIf no-one else has claimed Child Benefit for the children named on this form, send us their birth certificate(s).Please noteFor each child in this claim we need to see their:• birth certificate (full or short version)• adoption certificateIf any child in this claim was born outside the UK we alsoneed to see their passport(s) or their travel documentsused to enter the UK.We will normally return your documents within 4 weeks.If you don’t send the documents we need with the claim form,a decision on your claim will be delayed.34How many children are you claiming for on this form?35How many original birth certificates, passports and/ortravel documents are you sending us?We do not accept any photocopies.We don’t need to see a birth certificate for a child thathas been claimed for by you or someone else in the past.birth certificatespassportstravel documentsPage 43 Children you want to claim forChild 136continuedChild 143continuedForofficeuse 5Child's surname or family nameAs shown on the birth or adoption certificate.Does this child live with you in the UK?Read page 4 of the CH2 Notes.No37Child's first name and any middle name(s)As shown on the birth or adoption certificate.First nameMiddle name(s)44YesIf Yes, go toquestion 45What is the name and address of the person this childlives with?NameName38Is this child male or female?MaleFemaleAddress39Forofficeuse 3Child’s date of birthDD MM YYYYPostcodeForofficeuse 64540Has this child ever been known by any other name?NoYesIf Yes, please specify the other name belowHas this child lived with anyone else in the last12 months?Read page 4 of the CH2 Notes.NoYesIf No, go toquestion 4846Has the name been changed by deed poll?Forofficeuse 4What is the name and address of the person this childNamelived with?NameNo41YesAddressIs this child your own child?Read page 4 of the CH2 Notes.NoYesPostcode42Has anyone else ever claimed Child Benefit for this child?Read page 4 of the CH2 Notes.47NoYesNameNameNameAddressIf No, go toquestion 43If Yes, tell us their name and address48What date did the child come to live with you?DD MM YYYYAre you adopting or planning to adopt this child througha local authority?NoYes49PostcodeSocial workerDo you want to claim for any more children now?NoYesIf No, go toquestion 64If Yes, go toquestion 50For official use onlyPage 5 [ Pobierz całość w formacie PDF ]

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