Download JSON
{
"filename": "CH2_English_online.pdf",
"model": "OpenAI",
"formStructure": [
0,
17,
14,
9,
13,
13,
10,
0,
0
],
"pages": [
{
"id": 1,
"question_text": "Do you have a National Insurance number?",
"hint_text": "Read page 3 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 2,
"question_text": "Your title",
"hint_text": "For example Mrs, Miss, Ms, Mr or Dr",
"answer_type": "text"
},
{
"id": 3,
"question_text": "Your last name or family name",
"hint_text": null,
"answer_type": "text"
},
{
"id": 4,
"question_text": "Your first name and any middle names",
"hint_text": null,
"answer_type": "name",
"answer_settings": {
"input_type": "full_name"
}
},
{
"id": 5,
"question_text": "Have you ever been known by any other last names or family names including your maiden name?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 6,
"question_text": "Your date of birth",
"hint_text": null,
"answer_type": "date",
"answer_settings": {
"input_type": "date_of_birth"
}
},
{
"id": 7,
"question_text": "Your address",
"hint_text": null,
"answer_type": "address",
"answer_settings": {
"input_type": "uk_address"
}
},
{
"id": 8,
"question_text": "Have you lived at this address for more than 12 months?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 9,
"question_text": "Tell us your last address",
"hint_text": null,
"answer_type": "address",
"answer_settings": {
"input_type": "uk_address"
}
},
{
"id": 10,
"question_text": "Your mobile number or landline if you do not have a mobile",
"hint_text": "We may contact you about your claim. Our number may not show up if we call you.",
"answer_type": "phone_number"
},
{
"id": 11,
"question_text": "What is your nationality?",
"hint_text": "This is shown on your passport if you have one. For example, British, Irish, French, Polish.",
"answer_type": "text"
},
{
"id": 12,
"question_text": "Have you claimed Child Benefit for any children before?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 13,
"question_text": "Are you currently entitled to or receiving Child Benefit?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 14,
"question_text": "Child's last name",
"hint_text": null,
"answer_type": "text"
},
{
"id": 15,
"question_text": "Child's first name",
"hint_text": null,
"answer_type": "text"
},
{
"id": 16,
"question_text": "Child's middle names",
"hint_text": null,
"answer_type": "text"
},
{
"id": 17,
"question_text": "Child's date of birth",
"hint_text": null,
"answer_type": "date",
"answer_settings": {
"input_type": "date_of_birth"
}
},
{
"id": 14,
"question_text": "Have you always lived in the UK?",
"hint_text": "By this we mean you've never lived outside the UK. Read page 3 of the CH2 Notes.",
"answer_type": "single_choice",
"options": [
{
"value": "No",
"text": "No"
},
{
"value": "Yes",
"text": "Yes"
}
]
},
{
"id": 15,
"question_text": "Do you usually live in the UK?",
"hint_text": "Read page 3 of the CH2 Notes.",
"answer_type": "single_choice",
"options": [
{
"value": "No",
"text": "No"
},
{
"value": "Yes",
"text": "Yes"
}
]
},
{
"id": 16,
"question_text": "Which country do you usually live in?",
"hint_text": null,
"answer_type": "text"
},
{
"id": 17,
"question_text": "Tell us the date you arrived in the UK",
"hint_text": null,
"answer_type": "date",
"answer_settings": {
"input_type": "other_date"
}
},
{
"id": 18,
"question_text": "Are you subject to immigration control now, or have you been at any time in the last 6 months?",
"hint_text": "Read page 3 of the CH2 Notes.",
"answer_type": "single_choice",
"options": [
{
"value": "No",
"text": "No"
},
{
"value": "Yes",
"text": "Yes"
}
]
},
{
"id": 19,
"question_text": "If you've been subject to immigration control in the last 3 months, tell us the date your immigration status was granted",
"hint_text": null,
"answer_type": "date",
"answer_settings": {
"input_type": "other_date"
}
},
{
"id": 20,
"question_text": "What is your employment status?",
"hint_text": "Tick the box or boxes that apply. You only need to answer this question if you've ever lived outside of the UK.",
"answer_type": "multiple_choice",
"options": [
{
"value": "Looking for work in the UK",
"text": "Looking for work in the UK"
},
{
"value": "Employed in the UK",
"text": "Employed in the UK"
},
{
"value": "Self-employed in the UK",
"text": "Self-employed in the UK"
},
{
"value": "None of these - I've enough money to support my family in the UK",
"text": "None of these - I've enough money to support my family in the UK"
}
]
},
{
"id": 21,
"question_text": "Do you work in another country or receive benefit from another country, or have you at any time in the last 3 months?",
"hint_text": null,
"answer_type": "single_choice",
"options": [
{
"value": "No",
"text": "No"
},
{
"value": "Yes",
"text": "Yes"
}
]
},
{
"id": 22,
"question_text": "Are you a member of HM Forces or a civil servant working abroad?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 23,
"question_text": "What is your marital or civil partnership status?",
"hint_text": "Tick one box that applies. We consider you single for Child Benefit purposes unless you live with a partner.",
"answer_type": "single_choice",
"options": [
{
"value": "Married or in a civil partnership",
"text": "Married or in a civil partnership"
},
{
"value": "Living with a partner as if you're married or a civil partner since",
"text": "Living with a partner as if you're married or a civil partner since"
},
{
"value": "Widowed",
"text": "Widowed"
},
{
"value": "Separated since",
"text": "Separated since"
},
{
"value": "Divorced",
"text": "Divorced"
},
{
"value": "Single",
"text": "Single"
}
]
},
{
"id": 24,
"question_text": "Your partner's full name",
"hint_text": null,
"answer_type": "name",
"answer_settings": {
"input_type": "full_name"
}
},
{
"id": 25,
"question_text": "Your partner's date of birth",
"hint_text": null,
"answer_type": "date",
"answer_settings": {
"input_type": "date_of_birth"
}
},
{
"id": 26,
"question_text": "Your partner's National Insurance number",
"hint_text": "Read page 3 of the CH2 Notes.",
"answer_type": "national_insurance_number"
},
{
"id": 27,
"question_text": "Your partner's nationality",
"hint_text": "This is shown on their passport if they have one, for example British, Irish, French, Polish.",
"answer_type": "text"
},
{
"id": 1,
"question_text": "What is your partner's employment status?",
"hint_text": "Tick the box or boxes that apply.",
"answer_type": "multiple_choice",
"options": [
{
"value": "Looking for work in the UK",
"text": "Looking for work in the UK"
},
{
"value": "Employed in the UK",
"text": "Employed in the UK"
},
{
"value": "Self-employed in the UK",
"text": "Self-employed in the UK"
},
{
"value": "None of these - they have enough money to support their family in the UK",
"text": "None of these - they have enough money to support their family in the UK"
}
]
},
{
"id": 2,
"question_text": "Is your partner a member of HM Forces or a civil servant working abroad?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 3,
"question_text": "Does your partner now, or have they at any time in the last 3 months, worked in another country or received benefit from another country?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 4,
"question_text": "Is your partner entitled to Child Benefit now or are they waiting to hear if they can get Child Benefit?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 5,
"question_text": "What is the full name of the eldest child your partner is entitled to Child Benefit for?",
"hint_text": null,
"answer_type": "name"
},
{
"id": 6,
"question_text": "Child's date of birth",
"hint_text": null,
"answer_type": "date"
},
{
"id": 7,
"question_text": "How many children are you claiming for on this form?",
"hint_text": null,
"answer_type": "number"
},
{
"id": 8,
"question_text": "How many original birth certificates, adoption certificates, passports or travel documents are you sending us?",
"hint_text": "If you do not send original documents a decision on your claim will be delayed.",
"answer_type": "multiple_choice",
"options": [
{
"value": "Birth certificates - only send if the child's birth was registered in Northern Ireland or outside the UK",
"text": "Birth certificates - only send if the child's birth was registered in Northern Ireland or outside the UK"
},
{
"value": "Adoption certificates",
"text": "Adoption certificates"
},
{
"value": "Passports",
"text": "Passports"
},
{
"value": "Travel documents",
"text": "Travel documents"
}
]
},
{
"id": 9,
"question_text": "If Yes, tell us the country",
"hint_text": null,
"answer_type": "text"
},
{
"id": 1,
"question_text": "Child's full name including last or family name",
"hint_text": "As shown on their birth or adoption certificate.",
"answer_type": "name"
},
{
"id": 2,
"question_text": "Is this child male or female?",
"hint_text": null,
"answer_type": "single_choice",
"options": [
{
"value": "male",
"text": "Male"
},
{
"value": "female",
"text": "Female"
}
]
},
{
"id": 3,
"question_text": "Child's date of birth",
"hint_text": null,
"answer_type": "date",
"answer_settings": {
"input_type": "date_of_birth"
}
},
{
"id": 4,
"question_text": "Has this child's birth been registered in England, Wales or Scotland?",
"hint_text": null,
"answer_type": "single_choice",
"options": [
{
"value": "no",
"text": "No"
},
{
"value": "yes",
"text": "Yes"
}
]
},
{
"id": 5,
"question_text": "Has this child ever been known by any other name?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 6,
"question_text": "Has the name been changed by deed poll?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 7,
"question_text": "Is this child yours?",
"hint_text": null,
"answer_type": "single_choice",
"options": [
{
"value": "birth_child",
"text": "Birth child"
},
{
"value": "adopted_child",
"text": "Adopted child"
},
{
"value": "stepchild",
"text": "Stepchild"
},
{
"value": "none_of_these",
"text": "None of these"
}
]
},
{
"id": 8,
"question_text": "Have you or anyone else ever claimed Child Benefit for this child?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 9,
"question_text": "What is the name and address of the person who claimed Child Benefit for this child?",
"hint_text": null,
"answer_type": "address"
},
{
"id": 10,
"question_text": "Does this child live with you in the UK?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 11,
"question_text": "Has this child lived with anyone else at a different address to you in the last 12 months?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 12,
"question_text": "What date did the child come to live with you?",
"hint_text": null,
"answer_type": "date"
},
{
"id": 13,
"question_text": "Are you adopting or planning to adopt this child through a local authority?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 49,
"question_text": "Child's full name including last or family name",
"hint_text": "As shown on their birth or adoption certificate.",
"answer_type": "name"
},
{
"id": 50,
"question_text": "Is this child male or female?",
"hint_text": null,
"answer_type": "single_choice",
"options": [
{
"value": "male",
"text": "Male"
},
{
"value": "female",
"text": "Female"
}
]
},
{
"id": 51,
"question_text": "Child's date of birth",
"hint_text": null,
"answer_type": "date"
},
{
"id": 52,
"question_text": "Has this child's birth been registered in England, Wales or Scotland?",
"hint_text": null,
"answer_type": "single_choice",
"options": [
{
"value": "no",
"text": "No"
},
{
"value": "yes",
"text": "Yes"
}
]
},
{
"id": 53,
"question_text": "Has this child ever been known by any other name?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 54,
"question_text": "Has the name been changed by deed poll?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 55,
"question_text": "Is this child your?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "multiple_choice",
"options": [
{
"value": "birth_child",
"text": "Birth child"
},
{
"value": "adopted_child",
"text": "Adopted child"
},
{
"value": "stepchild",
"text": "Stepchild"
},
{
"value": "none_of_these",
"text": "None of these"
}
]
},
{
"id": 56,
"question_text": "Have you or anyone else ever claimed Child Benefit for this child?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 57,
"question_text": "What is the name and address of the person who claimed Child Benefit for this child?",
"hint_text": null,
"answer_type": "address"
},
{
"id": 58,
"question_text": "Does this child live with you in the UK?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 59,
"question_text": "Has this child lived with anyone else at a different address to you in the last 12 months?",
"hint_text": "Read page 4 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 60,
"question_text": "What date did the child come to live with you?",
"hint_text": null,
"answer_type": "date"
},
{
"id": 61,
"question_text": "Are you adopting or planning to adopt this child through a local authority?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 1,
"question_text": "Do you want to be paid Child Benefit?",
"hint_text": "Only answer this question if either you or your partner have an individual income of more than £60,000 a year. Read page 5 of the CH2 Notes.",
"answer_type": "yes_no_question"
},
{
"id": 2,
"question_text": "Do you want to be paid Child Benefit every week?",
"hint_text": "We normally pay Child Benefit every 4 weeks into a Bank or building society account. Page 5 of the CH2 Notes tells you if you can be paid every week.",
"answer_type": "yes_no_question"
},
{
"id": 3,
"question_text": "To get Child Benefit paid every week tick all boxes which apply to you or your partner",
"hint_text": null,
"answer_type": "multiple_choice",
"options": [
{
"value": "single_parent",
"text": "I am a single parent"
},
{
"value": "income_support",
"text": "I or my partner receive one or more of the following: Income Support, Income-based Jobseeker's Allowance, Pension Credit, Income-related Employment and Support Allowance, Universal Credit"
}
]
},
{
"id": 4,
"question_text": "Do you already get Child Benefit?",
"hint_text": null,
"answer_type": "yes_no_question"
},
{
"id": 5,
"question_text": "Tick the box which applies to you",
"hint_text": "We can pay Child Benefit into an account that you nominate if the account is capable of receiving direct credit transfer, for example a suitable bank or building society account.",
"answer_type": "multiple_choice",
"options": [
{
"value": "account_in_my_name",
"text": "The account is in my name"
},
{
"value": "account_in_joint_names",
"text": "The account is in joint names - tell us the names of the account holders in the box below"
},
{
"value": "account_in_someone_else's_name",
"text": "The account is in someone else's name - tell us the name of the account holder in the box below"
}
]
},
{
"id": 6,
"question_text": "Name of the bank or building society",
"hint_text": null,
"answer_type": "text"
},
{
"id": 7,
"question_text": "The branch sort code",
"hint_text": "Read page 5 of the CH2 Notes.",
"answer_type": "number"
},
{
"id": 8,
"question_text": "The account number",
"hint_text": "Read page 5 of the CH2 Notes.",
"answer_type": "number"
},
{
"id": 9,
"question_text": "If the account is with a building society, tell us the roll or reference number if you have it",
"hint_text": "Read page 5 of the CH2 Notes.",
"answer_type": "number"
},
{
"id": 10,
"question_text": "If you do not have an account that we can pay into, put an 'X' in this box",
"hint_text": null,
"answer_type": "yes_no_question"
}
]
}