Form DS700SP
About you - the carer
Q1. First name
About you - the carer
Q2. Last name
About you - the carer
Q3. National Insurance (N I) number
About you - the carer
Q4. A phone number we can contact you on
Guidance: If you give us your mobile phone number we can contact you by text message.
About your Carer’s Allowance
Q5. What date do you want your Carer’s Allowance to start?
Guidance: It is possible to backdate your claim to the start date of the disabled person’s qualifying benefit. This must be made within 3 months of their decision date, and you must have provided care for at least 35 hours each week. Please make a note of this date.
More about you - the carer
Q6. Your date of birth
More about you - the carer
Q7. What is your marital or civil partnership status?
Options: Single; Married or civil partner; Living with partner; Separated; Divorced or civil partnership dissolved; Widowed or surviving civil partner
More about you - the carer
Q8. Your address
More about you - the carer
Q9. What is your nationality?
Guidance: For example, British. If you have a current passport, please give your nationality as shown on your passport.
More about you - the carer
Q10. Which country do you normally live in?
More about you - the carer
Q11. Which country are you living in now?
More about you - the carer
Q12. If you are Swiss or a European Economic Area (EEA) national, were you living in the United Kingdom (UK) before 1 January 2021?
Options: Yes; No
Guidance: For a list of EEA countries, please see the notes booklet.
More about you - the carer
Q13. Have you lived in Great Britain throughout the 3 years before the date you are claiming from?
Options: Yes; No
Guidance: Great Britain is England, Scotland and Wales.
More about you - the carer
Q14. If No, please tell us about any countries you have lived in or visited in the 3 years before the date you are claiming from. If you had more than 3 visits abroad, tell us about them in ‘More Information’ at question 74.
About you - the carer
Q15. Do you, or a member of your family, get any benefits or pensions from a working country other than Great Britain?
Options: Yes; No
Guidance: By family we mean your spouse or civil partner and dependent children and adults.
About you - the carer
Q16. Have you, or a member of your family, claimed any benefit or pension which has not yet been decided, from a country other than Great Britain?
Options: Yes; No
About you - the carer
Q17. Are you, or a member of your family, working in or paying insurance to an EEA country or Switzerland?
Options: Yes; No
Guidance: For a list of EEA countries, please see the notes booklet.
About your partner
Q18. Have you lived with a partner at any time since the date you want to claim from?
Options: Yes; No
About your partner
Q19. Their first name
About your partner
Q20. Their last name
About your partner
Q21. Their National Insurance (N I) number
About your partner
Q22. Their date of birth
About your partner
Q23. Their nationality
About your partner
Q24. Have you separated from your partner since the date you want to claim from?
Options: Yes; No
Guidance: When did you separate?
About the person you provide care for
Q25. Their first name
About the person you provide care for
Q26. Their last name
About the person you provide care for
Q27. Their National Insurance (N I) number
About the person you provide care for
Q28. Their date of birth
About the person you provide care for
Q29. Their address, if different from yours
Guidance: You do not have to live at the same address as the person you provide care for.
About the person you provide care for
Q30. What is their relationship to you?
About the person you provide care for
Q31. Are they getting Armed Forces Independence Payment?
Options: Yes; No
About the person you provide care for
Q32. Is the person you care for receiving a disability benefit from an EEA country or Switzerland?
Options: Yes; No
Guidance: If they are under 16, you should enter their Disability Living Allowance reference number or child reference number. What is the name of the benefit? Which country is paying the benefit? Please send in a recent notification regarding this benefit award if you have one.
About the person you provide care for
Q33. Is another person getting Carer’s Support Payment or an extra amount of Universal Credit for providing care for them?
Options: Yes; No
Guidance: Tell us about this. If you can, tell us their name, address, date of birth and National Insurance number.
About the person you provide care for
Q34. Have you spent 35 hours or more each week providing care for this person since the date you want to claim from?
Options: Yes; No
Guidance: This can be any care you give in person. This includes supervision as well as helping with things like washing, cooking, household tasks, shopping, travel, attending appointments, preparing for the disabled person to come to stay with you or cleaning up after the visit.
About the person you provide care for
Q35. Were you providing care for this person for 35 hours or more each week before the date you want to claim from?
Options: Yes; No
Guidance: Go to question 37 if you answered 'No'.
About the person you provide care for
Q36. If you were providing care for this person before the date you want to claim from, have there been any times you were unable to provide care for this person during the 26 weeks before the date you want to claim from?
Options: Yes; No
Guidance: For example, when: they were in respite care, hospital or on holiday without you; you were in hospital or on holiday without them. Tell us about this on the next 3 pages. You could still get Carer’s Allowance for these times. If they had more than 3 periods in hospital, a care home or respite care, please tell us about this in ‘More information’ at question 74.
About the person you provide care for
Q37. Has the person you provide care for been in hospital, a care home or respite care for at least a week since the date you want to claim from?
Options: Yes; No
Guidance: Go to question 50 if you answered 'No'.
About the person you provide care for
Q38. Were they in hospital or a care home or respite care?
Options: Hospital; A care home or respite care
About the person you provide care for
Q39. When were they in hospital, a care home or respite care?
About the person you provide care for
Q40. While they were in hospital, a care home or respite care, did you still provide care for 35 hours a week?
Options: Yes; No
About the person you provide care for
Q41. If they were in a care home or respite care, were they getting care from a medical professional during this time?
Options: Yes; No
About the person you provide care for
Q42. Were they in hospital or a care home or respite care?
Options: Hospital; A care home or respite care
About the person you provide care for
Q43. When were they in hospital, a care home or respite care?
About the person you provide care for
Q44. While they were in hospital, a care home or respite care, did you still provide care for 35 hours a week?
Options: Yes; No
About the person you provide care for
Q45. If they were in a care home or respite care, were they getting care from a medical professional during this time?
Options: Yes; No
About the person you provide care for
Q46. Were they in hospital or a care home or respite care?
Options: Hospital; A care home or respite care
About the person you provide care for
Q47. When were they in hospital, a care home or respite care?
About the person you provide care for
Q48. While they were in hospital, a care home or respite care, did you still provide care for 35 hours a week?
Options: Yes; No
About the person you provide care for
Q49. If they were in a care home or respite care, were they getting care from a medical professional during this time?
Options: Yes; No
About the person you provide care for
Q50. Have you been in hospital or a care home or respite care for at least a week since the date you want to claim from and the 26 weeks before this date?
Options: Yes; No
Guidance: Go to question 60 if you answered 'No'. Tell us about this. If you had more than 3 periods in hospital, a care home or respite care, please tell us about this in ‘More information’ at question 74.
About the person you provide care for
Q51. Were you in hospital or a care home or respite care?
Options: Hospital; A care home or respite care
About the person you provide care for
Q52. When were you in hospital, a care home or respite care?
About the person you provide care for
Q53. If you were in a care home or respite care, were you getting care from a medical professional during this time?
Options: Yes; No
About the person you provide care for
Q54. Were you in hospital or a care home or respite care?
Options: Hospital; A care home or respite care
About the person you provide care for
Q55. When were you in hospital, a care home or respite care?
About the person you provide care for
Q56. If you were in a care home or respite care, were you getting care from a medical professional during this time?
Options: Yes; No
About the person you provide care for
Q57. Were you in hospital or a care home or respite care?
Options: Hospital; A care home or respite care
About the person you provide care for
Q58. When were you in hospital, a care home or respite care?
About the person you provide care for
Q59. If you were in a care home or respite care, were you getting care from a medical professional during this time?
Options: Yes; No
About the person you provide care for
Q60. Have there been any other times you have not provided care for the person named on page 6 of this form for 35 hours a week since the date you want to claim from and the 26 weeks before this date?
Options: Yes; No
Guidance: This includes holidays. Tell us about this. If you have not provided care for more than 3 periods, please tell us about this at ‘More information’ at question 74.
About the person you provide care for
Q61. When did you not provide care for 35 hours a week?
Guidance: From what time? am/pm From what date? To what time? am/pm To what date?
About the person you provide care for
Q62. Where was the person you provide care for?
Options: On holiday; At home; Somewhere else
About the person you provide care for
Q63. Where were you?
Options: On holiday; At home; Somewhere else
About the person you provide care for
Q64. When did you not provide care for 35 hours a week?
Guidance: From what time? am/pm From what date? To what time? am/pm To what date?
About the person you provide care for
Q65. Where was the person you provide care for?
Options: On holiday; At home; Somewhere else
About the person you provide care for
Q66. Where were you?
Options: On holiday; At home; Somewhere else
About the person you provide care for
Q67. When did you not provide care for 35 hours a week?
Guidance: From what time? am/pm From what date? To what time? am/pm To what date?
About the person you provide care for
Q68. Where was the person you provide care for?
Options: On holiday; At home; Somewhere else
About the person you provide care for
Q69. Where were you?
Options: On holiday; At home; Somewhere else
About education and employment
Q70. Have you been on a course of education since the date you want to claim from?
Options: Yes; No
Guidance: If you are on holiday such as the summer or winter vacation, or on temporary leave from your course, still tick Yes. Please give details in More information at question 74.
About education and employment
Q71. Have you been employed at any time in the 6 month period before the date you want to claim from?
Options: Yes; No
Guidance: Still tick Yes if you are off work because you are sick, or on paid or unpaid leave. Please give details in More information at question 74.
About education and employment
Q72. Are you or have you been self-employed at any time since the week before the date you want to claim from?
Options: Yes; No
Guidance: By self-employment we mean: working for yourself; being a partner or sleeping partner in a business; receiving income from property or land you own, or renting out any part of the home you live in - for example, a lodger. Please give details in More information at question 74. We will contact you about this.
About education and employment
Q73. Have you received any payments for the person you provide care for or anybody else since the date you want to claim from?
Options: Yes; No
Guidance: For example, payments for fostering, adult placements, direct payments or any payments from your local council. What is the payment called? Who pays you? What is their address? Amount paid? How often?
More information
Q74. Use this space to tell us anything you think we might need to know
Guidance: If you need more space, you can use another sheet of paper, on each piece: write your full name, address and National Insurance number on it; sign and date it.
Declaration
Q75. Your signature
Guidance: Even if someone else has filled in this form for you, you must sign the declaration yourself.
Declaration
Q76. Date of signature