[Your address]
								[Your telephone number]
								[Your email address]
								[Date]

[Address of the Council’s housing benefit department]

By [first class post / hand / email to: [email address]


Dear Sirs

Re:	Decision dated [date]
	Request for written statement of reasons
	Housing Benefit Regulations 2006, SI No. 213, Reg. 90 and Schedule 9
	Your ref: [Benefit reference number]

Please forward me a written statement setting out the Council’s reasons for your decision dated [date] on all matters set out in the decision notice and those matters the Council is obliged to notify me of under Schedule 9.

I am aware that you are obliged to send the statement to me within 14 days, or as soon as is reasonably practicable thereafter.

I look forward to hearing from you.

Yours faithfully




[Your name]










E&W_HB_CLAIMANT_09
From claimant to housing benefits
Requesting statement of reasons for housing benefit decision