Previous key worker Contact number WELFARE STATE BENEFIT ELIGIBILITY Is the Client in receipt/entitled to Welfare YES NO State Benefits? (Please mark with a X in appropriate box) Job Seekers Employment Income Support Housing Benefit Other Allowance Support Allowance SOLICITOR DETAILS SOLICITOR NAME SOLICITOR OFFICE NAME CONTACT TEL NO ADDRESS: DETAIL ANY OUTSTANDING LEGAL ISSUES:
Previous key worker Contact number WELFARE STATE BENEFIT ELIGIBILITY Is the Client in receipt/entitled to Welfare State Benefits? (Please mark with a X in appropriate box) YES NO Job Seekers Allowance Employment Support Allowance Income Support Housing Benefit Other SOLICITOR DETAILS SOLICITOR NAME SOLICITOR OFFICE NAME CONTACT TEL NO ADDRESS: DETAIL ANY OUTSTANDING LEGAL ISSUES: