Income and expenditure form

1. Name
2. Today's date
3. Address and details
  1. Address line 1
  2. Address line 2 (optional)
  3. Town/city
  4. Postcode
  5. Home Telephone
  6. Mobile number
  7. Email Address
  8. Council Tax reference
4. Details of children
  1. Number of children
    
    None
    
    1
    
    2
    
    3
    
    4
    
    5 or more
    
    Enter the number of children you have
  2. Age of child 1 (optional)
  3. Age of child 2 (optional)
  4. Age of child 3 (optional)
  5. Age of child 4 (optional)
  6. Age of child 5 (optional)
5. Employer details
  1. Employer (optional)
  2. Address of employer (if applicable)
    
    Address Line 1 (optional)
    
    Address Line 2 (optional)
    
    Address Line 3 (optional)
    
    Town (optional)
    
    Postcode (optional)
    
    Region (optional)
7. Preston City Council will use your information in a manner compatible with the General Data Protection Regulation (GDPR).
  
  Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice .