Which, if any, of these types of payments are you {IF CRLIVEPA=1: “or” {PARTNAM}}
currently receiving?

1. Jobseeker’s Allowance
2. Income Support
3. Sickness, disability or incapacity benefits (including Employment and Support
Allowance)
4. Pension benefits (including State Pension and Pension Credits)
5. Child Benefit
6. Tax credits, such as the Working Tax Credit, Disabled Person Tax Credit or Child
Tax Credit
7. Any other family related benefit or payment
8. Housing Benefit or Council Tax Reduction (including direct payments to your
landlord)
9. Carer’s Allowance
10. Income from a Coronavirus state benefit (including Self-Employment Income
Support Scheme, Test and Trace Support Payment scheme)
11. Income from any other state benefit
12. None of these [EXCLUSIVE]