Special Benefit Review form (BC048m)

Use this form to confirm your details if you are receiving a special benefit so we can check that you are receiving the right amount.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.

Download and complete the Special Benefit Review form.

Please fill in your name, address, Customer Reference Number (CRN), the date of issue and the return date on the first page of the form. If you do not know the return date, please contact us so that you can return the review by the due date.

Page last updated: 10 May 2023.
QC 19541