Are you getting all the benefits you should be? MONEY YOU'RE ENTITLED TO
Are you getting all the benefits you should be? Pension Credit, Attendance Allowance, PIP, Carer's Allowance, council tax reduction — ever checked?
Yes, all checked No, never checked
Not sure
Optional — Which benefits have you tried claiming — and did anyone say no? Are creditors chasing debts that might be too old to enforce? DEBTS THAT MAY HAVE EXPIRED
Are creditors chasing debts that might be too old to enforce? CCJs, creditors' letters, debts older than 6 years with no payment or acknowledgement
YES NO
Not sure
Optional — Tell us who's chasing you and roughly when the debt started — dates help. Is your home in poor repair, damp, or are you facing eviction? YOUR HOME, YOUR RIGHTS
Is your home in poor repair, damp, or are you facing eviction? Damp and condensation, heating failure, landlord notices, Section 21 dates
YES NO
Not sure
Optional — Tell us about the damp or the notice — dates help. Have you made a will that still reflects your wishes? PUTTING THINGS IN ORDER
Have you made a will that still reflects your wishes? Marriages, new grandchildren, property bought, old wills
No will at all Has one, may be out of date Yes, it's current
Optional — Anything changed recently that a will should reflect? Has anyone got authority to help decide things if you can't? PLANNING AHEAD
Has anyone got authority to help decide things if you can't? Registered LPAs (property & affairs; health & welfare), advance decisions
YES NO
Not sure
Optional — Anything else about this you'd like us to know? Is a child's support plan up to date and still being honoured? FOR CHILDREN WITH ADDITIONAL NEEDS
Is a child's support plan up to date and still being honoured? EHCP in force, annual reviews, Year 9+/Y11 transition deadlines
YES NO
Not sure
Optional — Which year is the child in, and when was the last review? Is there a court or tribunal deadline coming up? TIME LIMITS THAT BITE
Is there a court or tribunal deadline coming up? Appeal windows, the one-month mandatory reconsideration rule, respondent deadlines
YES NO
Not sure
Optional — What's the deadline date, if you know it? Have you had a sanction or overpayment decision you disagree with? WHEN THE DWP SAYS NO
Have you had a sanction or overpayment decision you disagree with? Sanction notices, overpayment letters, MR and appeal rights still open
YES NO
Not sure
Optional — What did the decision letter say, and when did it arrive? Is a company treating you unfairly — energy, water, phone, shopping? FAIR TREATMENT
Is a company treating you unfairly — energy, water, phone, shopping? Priority Services Register, standing charges, mis-sold services, ombudsman windows
YES NO
Not sure
Optional — Which company, and what have they said so far? Is someone speaking for you — or should someone be? STAYING SAFE
Is someone speaking for you — or should someone be? Fluctuating capacity, coercion worries, DoLS, who decides things
YES NO
Not sure
Optional — Anything else about this you'd like us to know? Did you or a family member serve in the armed forces? FOR THOSE WHO SERVED
Did you or a family member serve in the armed forces? SSAFA, RBL, Armed Forces Covenant, war pensions
Yes Not applicable
Not sure
Optional — Which service and roughly which years? Is anything happening right now that can’t wait? IF IT CAN'T WAIT
Is anything happening right now that can’t wait? Bailiff visit booked, hearing within 7 days, disconnection, safety
YES NO
Not sure
Optional — When is it happening, and what has been threatened? Is something going wrong at work? WORK PROBLEMS
Is something going wrong at work? Unfair dismissal, redundancy, grievances, workplace disputes
YES NO
Not sure
Optional — What happened, and when — roughly which date? Have you been treated worse because of a disability or other personal characteristic? FAIRNESS UNDER THE LAW
Have you been treated worse because of a disability or other personal characteristic? Equality Act issues, reasonable adjustments, SEND overlap
YES NO
Not sure
Optional — What happened, and where — a service, a workplace, a school? Are you in a dispute with HMRC — tax, VAT, penalties? HMRC MATTERS
Are you in a dispute with HMRC — tax, VAT, penalties? Assessments, penalties, VAT registration, appeals deadlines
YES NO
Not sure
Optional — Which tax or duty, and roughly how much is disputed? Has an insurer refused or delayed a claim? WHEN CLAIMS GO WRONG
Has an insurer refused or delayed a claim? Home, contents, life, income protection — refusals and delays
YES NO
Not sure
Optional — Which insurance, and what reason did they give? Have you been hurt in an accident that wasn't your fault? ACCIDENTS & INJURIES
Have you been hurt in an accident that wasn't your fault? Road, work, public place, medical — within the last 3 years
YES NO
Not sure
Optional — When did it happen, and what kind of injury? Is a business or individual not honouring an agreement with you? DEALS THAT WENT WRONG
Is a business or individual not honouring an agreement with you? Builders, cars, services, goods — contracts and consumer rights
YES NO
Not sure
Optional — What was agreed, and what's gone wrong? Contact details Last step
Where can we reach you? Give us a name and a way to get back to you, and choose when you would prefer to be contacted. This is free, as with everything we do.
Your name E-mail or phone Preferred contact time I am happy for JAFLAS Dr Alan Blacker & Co. CIC to contact me about my health check. We handle what you send in line with our privacy notice.
