Universal Credit group action enquiry form

All fields marked with a*are required for the form to be submitted

Your first name*
Your surname*
Your email address
Your telephone number
Your organisation
Please tick the box if you would like to be kept up to date on the progress of the DWP group action

First name
Second name*
Email
Telephone
Post Code*	Find your address by entering your post code in the below field. Find
If you can not find your address please enter your address in the Address fields provided.


Building name or number*
Street*
Town/City*
County*
Which benefit have they lost?*
Is there any other information that we might find useful?	For example, any accessibility or other needs that we should know about