Online Statement Request Form

You can request a statement of the payments you have received. This will be sent out to you in the post. If you are getting more than one payment you need to complete a separate request for each payment.

Click here to request a statement of Jobseeker's Allowance or Jobseeker's Benefit.

Click here to check if this form is relevant to your needs.

Required fields are indicated with an *

Invalid fields are outlined in red.