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Question 1

Do you have a National Insurance number?

ID: 1

Hint: Read page 3 of the CH2 Notes.

Type: yes_no_question

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Question 2

Your title

ID: 2

Hint: For example Mrs, Miss, Ms, Mr or Dr

Type: text

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Question 3

Your last name or family name

ID: 3

Hint:

Type: text

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Question 4

Your first name and any middle names

ID: 4

Hint:

Type: name

Settings: full_name

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Question 5

Have you ever been known by any other last names or family names including your maiden name?

ID: 5

Hint:

Type: yes_no_question

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Question 6

Your date of birth

ID: 6

Hint:

Type: date

Settings: date_of_birth

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Question 7

Your address

ID: 7

Hint:

Type: address

Settings: uk_address

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Question 8

Have you lived at this address for more than 12 months?

ID: 8

Hint:

Type: yes_no_question

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Question 9

Tell us your last address

ID: 9

Hint:

Type: address

Settings: uk_address

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Question 10

Your mobile number or landline if you do not have a mobile

ID: 10

Hint: We may contact you about your claim. Our number may not show up if we call you.

Type: phone_number

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Question 11

What is your nationality?

ID: 11

Hint: This is shown on your passport if you have one. For example, British, Irish, French, Polish.

Type: text

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Question 12

Have you claimed Child Benefit for any children before?

ID: 12

Hint:

Type: yes_no_question

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Question 13

Are you currently entitled to or receiving Child Benefit?

ID: 13

Hint:

Type: yes_no_question

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Question 14

Child's last name

ID: 14

Hint:

Type: text

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Question 15

Child's first name

ID: 15

Hint:

Type: text

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Question 16

Child's middle names

ID: 16

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Type: text

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Question 17

Child's date of birth

ID: 17

Hint:

Type: date

Settings: date_of_birth

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Question 18

Have you always lived in the UK?

ID: 14

Hint: By this we mean you've never lived outside the UK. Read page 3 of the CH2 Notes.

Type: single_choice

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Question 19

Do you usually live in the UK?

ID: 15

Hint: Read page 3 of the CH2 Notes.

Type: single_choice

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Question 20

Which country do you usually live in?

ID: 16

Hint:

Type: text

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Question 21

Tell us the date you arrived in the UK

ID: 17

Hint:

Type: date

Settings: other_date

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Question 22

Are you subject to immigration control now, or have you been at any time in the last 6 months?

ID: 18

Hint: Read page 3 of the CH2 Notes.

Type: single_choice

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Question 23

If you've been subject to immigration control in the last 3 months, tell us the date your immigration status was granted

ID: 19

Hint:

Type: date

Settings: other_date

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Question 24

What is your employment status?

ID: 20

Hint: Tick the box or boxes that apply. You only need to answer this question if you've ever lived outside of the UK.

Type: multiple_choice

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Question 25

Do you work in another country or receive benefit from another country, or have you at any time in the last 3 months?

ID: 21

Hint:

Type: single_choice

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Question 26

Are you a member of HM Forces or a civil servant working abroad?

ID: 22

Hint:

Type: yes_no_question

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Question 27

What is your marital or civil partnership status?

ID: 23

Hint: Tick one box that applies. We consider you single for Child Benefit purposes unless you live with a partner.

Type: single_choice

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Question 28

Your partner's full name

ID: 24

Hint:

Type: name

Settings: full_name

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Question 29

Your partner's date of birth

ID: 25

Hint:

Type: date

Settings: date_of_birth

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Question 30

Your partner's National Insurance number

ID: 26

Hint: Read page 3 of the CH2 Notes.

Type: national_insurance_number

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Question 31

Your partner's nationality

ID: 27

Hint: This is shown on their passport if they have one, for example British, Irish, French, Polish.

Type: text

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Question 32

What is your partner's employment status?

ID: 1

Hint: Tick the box or boxes that apply.

Type: multiple_choice

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Question 33

Is your partner a member of HM Forces or a civil servant working abroad?

ID: 2

Hint:

Type: yes_no_question

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Question 34

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?

ID: 3

Hint:

Type: yes_no_question

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Question 35

Is your partner entitled to Child Benefit now or are they waiting to hear if they can get Child Benefit?

ID: 4

Hint:

Type: yes_no_question

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Question 36

What is the full name of the eldest child your partner is entitled to Child Benefit for?

ID: 5

Hint:

Type: name

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Question 37

Child's date of birth

ID: 6

Hint:

Type: date

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Question 38

How many children are you claiming for on this form?

ID: 7

Hint:

Type: number

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Question 39

How many original birth certificates, adoption certificates, passports or travel documents are you sending us?

ID: 8

Hint: If you do not send original documents a decision on your claim will be delayed.

Type: multiple_choice

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Question 40

If Yes, tell us the country

ID: 9

Hint:

Type: text

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Question 41

Child's full name including last or family name

ID: 1

Hint: As shown on their birth or adoption certificate.

Type: name

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Question 42

Is this child male or female?

ID: 2

Hint:

Type: single_choice

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Question 43

Child's date of birth

ID: 3

Hint:

Type: date

Settings: date_of_birth

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Question 44

Has this child's birth been registered in England, Wales or Scotland?

ID: 4

Hint:

Type: single_choice

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Question 45

Has this child ever been known by any other name?

ID: 5

Hint:

Type: yes_no_question

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Question 46

Has the name been changed by deed poll?

ID: 6

Hint:

Type: yes_no_question

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Question 47

Is this child yours?

ID: 7

Hint:

Type: single_choice

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Question 48

Have you or anyone else ever claimed Child Benefit for this child?

ID: 8

Hint: Read page 4 of the CH2 Notes.

Type: yes_no_question

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Question 49

What is the name and address of the person who claimed Child Benefit for this child?

ID: 9

Hint:

Type: address

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Question 50

Does this child live with you in the UK?

ID: 10

Hint: Read page 4 of the CH2 Notes.

Type: yes_no_question

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Question 51

Has this child lived with anyone else at a different address to you in the last 12 months?

ID: 11

Hint: Read page 4 of the CH2 Notes.

Type: yes_no_question

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Question 52

What date did the child come to live with you?

ID: 12

Hint:

Type: date

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Question 53

Are you adopting or planning to adopt this child through a local authority?

ID: 13

Hint:

Type: yes_no_question

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Question 54

Child's full name including last or family name

ID: 49

Hint: As shown on their birth or adoption certificate.

Type: name

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Question 55

Is this child male or female?

ID: 50

Hint:

Type: single_choice

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Question 56

Child's date of birth

ID: 51

Hint:

Type: date

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Question 57

Has this child's birth been registered in England, Wales or Scotland?

ID: 52

Hint:

Type: single_choice

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Question 58

Has this child ever been known by any other name?

ID: 53

Hint:

Type: yes_no_question

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Question 59

Has the name been changed by deed poll?

ID: 54

Hint:

Type: yes_no_question

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Question 60

Is this child your?

ID: 55

Hint: Read page 4 of the CH2 Notes.

Type: multiple_choice

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Question 61

Have you or anyone else ever claimed Child Benefit for this child?

ID: 56

Hint: Read page 4 of the CH2 Notes.

Type: yes_no_question

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Question 62

What is the name and address of the person who claimed Child Benefit for this child?

ID: 57

Hint:

Type: address

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Question 63

Does this child live with you in the UK?

ID: 58

Hint: Read page 4 of the CH2 Notes.

Type: yes_no_question

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Question 64

Has this child lived with anyone else at a different address to you in the last 12 months?

ID: 59

Hint: Read page 4 of the CH2 Notes.

Type: yes_no_question

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Question 65

What date did the child come to live with you?

ID: 60

Hint:

Type: date

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Question 66

Are you adopting or planning to adopt this child through a local authority?

ID: 61

Hint:

Type: yes_no_question

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Question 67

Do you want to be paid Child Benefit?

ID: 1

Hint: 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.

Type: yes_no_question

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Question 68

Do you want to be paid Child Benefit every week?

ID: 2

Hint: 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.

Type: yes_no_question

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Question 69

To get Child Benefit paid every week tick all boxes which apply to you or your partner

ID: 3

Hint:

Type: multiple_choice

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Question 70

Do you already get Child Benefit?

ID: 4

Hint:

Type: yes_no_question

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Question 71

Tick the box which applies to you

ID: 5

Hint: 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.

Type: multiple_choice

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Question 72

Name of the bank or building society

ID: 6

Hint:

Type: text

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Question 73

The branch sort code

ID: 7

Hint: Read page 5 of the CH2 Notes.

Type: number

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Question 74

The account number

ID: 8

Hint: Read page 5 of the CH2 Notes.

Type: number

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Question 75

If the account is with a building society, tell us the roll or reference number if you have it

ID: 9

Hint: Read page 5 of the CH2 Notes.

Type: number

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Question 76

If you do not have an account that we can pay into, put an 'X' in this box

ID: 10

Hint:

Type: yes_no_question

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