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Budget Planner
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Last Modified June 26, 2019
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Right Track Stage 4 - Tenant's Consent to Services & Information Disclosure
To enable Blackpool Coastal Housing to offer the best possible level of support for your needs, it is essential that we have your authority to access any information about you and to disclose/share this information with other Agencies / Departments when necessary.
This can include, but is not limited to: The Department of Works and Pensions Mental Health Services and Alcohol & Drug Services
Information shared with other agencies and professionals will only be done on a need to know basis in accordance with the Data Protection Act 1998.
We may, on occasions disclose/share information without your consent if you or anyone else poses a risk to themselves or others. This will only be done with the intention of ensuring your safety and that of others.
I tick to say that I understand fully and give my consent to the above.
Please tick
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Right Track Stage 4 - Budget Planner
Correspondance Details
Name
First name
Last name
Address
Address Line 1
Address Line 2
City
County
Postcode
Country
Email
Previous Page
Next Page
Right Track Stage 4 - Budget Planner
Money In - Weekly or Monthly
Your Wage
Partners Wage
Income Support
Incapacity Benefit
Working Tax Credit
Child Tax Credit
Housing Benefit
Child Benefit
JSA/ ESA
DLA/ PIPS
Universal Credit
Pension Credit
State Pension
Private Pension
Other:
Total Money In
Add up your money in and enter the value
Total Money In =
Previous Page
Next Page
Right Track Stage 4 - Budget Planner
Money Out - Weekly or Monthly
Rent
Council Tax
Gas
Electric
Water
TV Licence
Telephone
Mobile
Car/ Travel
House Insurance
Life Insurance
Car Insurance
Life Insurance
Court Fines
Maintenance
Grocery
Cigarettes
Clothing
Children
Pets
Sky/ Virgin/ BT Sport
Broadband
Mobile Phone
Hire Purchase
Pay Day Loans
Other:
Total Money Out
Add up your money out and enter the value
Total Money Out =
Previous Page
Next Page
Totals
To work out available money - Money In minus Money Out. You can go back to a previous page if you need to find your totals.
Total Money In =
Total Money Out =
Total=
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