Carer Support
Payment
You should save this copy of your application for your records.
You will now be unable to access your application online.
If you have told us that you will provide supporting
information by post, you should send it to:
Carer Support Payment
PO Box 10328
Dundee
DD1 9HE
If you need to contact us about your
application:
You can contact us by phone:
Freephone: 0800 182 2222
If you need to contact us from outside the UK please call +44 (0) 1382 931 000. This call is
not free but you can ask us to call you back. Check with your phone provider for details of
charges.
A video relay service for British Sign Language users is available using the
contactSCOTLAND app.
If you would prefer to contact us by post, write to:
Carer Support Payment
PO Box 10328
Dundee
DD1 9HE
If you are sending anything to us by post outside the UK, remember you need to add
‘United Kingdom’ to the end of our address. Make sure you use the correct amount of
postage. Check this with your local postal service. You might want to use a tracked post
service, especially if you are sending any important original documents.
You can find more ways to contact us and read more about how we will process your
application on the mygov.scot website.
Page 2 of 19
Application details
Who is completing this application? I'm completing the form on my own
as a carer
When do you want Carer Support Payment to 12-03-2025
start?
Your completed application was submitted on 28-03-2025
Page 3 of 19
About you
1 First name Zainab
2 Last name Zrary
3 Date of birth 23-05-1999
4 What is your National Insurance TH 00 25 51 D
number?
5 What is your address? 2/1
41 LARCHFIELD AVENUE
GLASGOW
G14 9YG
Scotland
6 Why are you currently living outside of Question not asked
the Common Travel Area?
7 Which address do you want letters sent 2/1
to? 41 LARCHFIELD AVENUE
GLASGOW
G14 9YG
Scotland
8 How should we contact you if we have Phone
any questions?
9 What is your phone number? 07475706641
10 What type of phone number is this? Mobile
11 Do you want to get notifications by Question not asked
email?
Page 4 of 19
12 Would you like to get text messages Yes
from us?
13 Would you like to get emails from us? Yes
15 What is your mobile phone number? Question not asked
16 Do you need letters to be sent in a No
format such as braille, large print, easy
read or audio file?
17 Which format would you like? Question not asked
18 Do you want calls and letters in a Yes
language other than English?
19 Which language would you like? Kurdish (Sorani)
20 Are you a British citizen? No
21 What is your nationality? Iraqi
22 What is your passport number? A21278578
23 If you applied to the EU Settlement Question not asked
Scheme what was the outcome of your
application?
24 What restrictions, if any, do you have on No restrictions
your leave to remain in the UK?
25 When does your refugee status or Question not asked
humanitarian protection end?
Page 5 of 19
26 When does your limited leave to remain Question not asked
end?
27 Have you applied for an extension to Question not asked
your limited leave to remain?
28 What date did you apply for the Question not asked
extension to your limited leave to
remain?
29 Does your passport or other immigration No
document say you have no recourse to
public funds?
30 How long have you lived in the United Other
Kingdom?
31 When did you move to the United 04-12-2023
Kingdom?
32 Which country did you move from? Iraq
33 How long have you lived in your current Question not asked
country of residence?
34 When did you move to your current Question not asked
country of residence?
35 Which country did you move from? Question not asked
36 Have you been outside the Common No
Travel Area since 29 March 2024?
Time spent outside the Common Travel Area Question not asked
37 Do you or any members of your family No
get pensions or benefits from, or work
Page 6 of 19
or pay tax in, an EEA country, Gibraltar
or Switzerland?
38 Are you currently doing any of these Question not asked
courses?
National Certificates (NC) levels 1 to 6
National Qualifications (NQ) levels 1 to 6
Scottish Vocational Qualifications (SVQ)
level 1 or 2
Scottish Highers or Advanced Highers
A combination of Highers and Advanced
Highers, called a Baccalaureate
Similar courses at school or college, for
example A levels
39 Are you currently on one of these Question not asked
programmes?
No One Left Behind
A training programme by your local
council
40 Do you spend at least 21 hours a week Question not asked
in class or doing coursework?
41 Where is your course based? Question not asked
42 Do you get Universal Credit? Question not asked
43 Do you live independently from your Question not asked
parents or guardians without financial
support?
44 Are you legally responsible for someone Question not asked
aged 15 or under?
Page 7 of 19
45 Are you legally responsible for a child or Question not asked
young person aged 16 to 19 who does
any of these courses?
National Certificates (NC) levels 1 to 6
National Qualifications (NQ) levels 1 to 6
Scottish Vocational Qualifications (SVQ)
level 1 or 2
Scottish Highers or Advanced Highers
A combination of Highers and Advanced
Highers, called a Baccalaureate
Similar courses at school or college, for
example A levels
46 Do you get any of these benefits? Question not asked
Adult Disability Payment
Child Disability Payment
Pension Age Disability Payment
Scottish Adult Disability Living Allowance
Personal Independence Payment
Disability Living Allowance
47 Have you been assessed as having Question not asked
‘limited capability for work’?
48 Do any of these medical conditions or Question not asked
treatments apply to you?
you have a terminal illness
you're receiving or recovering from
chemotherapy or radiotherapy
you're receiving or recovering from
regular weekly treatment for renal
Page 8 of 19
failure, such as dialysis
you have been in contact with an
infectious disease and been told you
cannot work
you're a hospital in-patient
you're pregnant and there’s a risk to
your health or the health of the baby
there would be a substantial risk to your
physical or mental health if you had to
work
49 Do you live with a partner? Question not asked
50 Does your partner study one of these Question not asked
courses for 21 hours or more a week?
Scottish National Certificates
Scottish Highers or Advanced Highers
Scottish Credit Qualification level 1 to
level 6
Baccalaureate
No One Left Behind
A training programme supported by
your local authority
Equivalent courses in another country
for example, A levels or International
Baccalaureate
51 Does your partner get Universal Credit? Question not asked
52 Do any of these special circumstances Question not asked
apply to your partner?
they do not get support from parents or
guardians
they're not at school, college or
university
Page 9 of 19
they’re on a disability benefit and has
been assessed or treated as having
‘limited capability for work’ in Universal
Credit or Employment and Support
Allowance
they're legally responsible for a child or
qualifying young person
they have a terminal illness
they're receiving or recovering from
chemotherapy or radiotherapy
they’re receiving or recovering from
regular weekly treatment for renal
failure, such as dialysis
they've been in contact with an
infectious disease and been told they
cannot work
they're a hospital in-patient
they're pregnant and there’s a risk to
their health or the health of the baby
there would be a substantial risk to their
physical or mental health if they had to
work
53 Do you get a training allowance from No
the government or your local council?
54 Which of the following benefits are you • None of these
receiving: War Pension Scheme:
Unemployability Supplement (UnSupp),
War Pension Scheme: Additional
Allowance for Spouse (AASP), War
Widow(er)'s Pension (WWD), Temporary
Allowance for Widows (TAW) and/or
Industrial Death Benefit (IDB)?
Page 10 of 19
Caring commitment
55 Have you lived with a partner at any Yes
time since your start date?
56 Partner’s first name Farman
57 Partner’s last name Awsatzrar
58 Partner’s date of birth 30-07-1995
59 What is your partner's National NJ 46 35 71 D
Insurance number?
60 Do you currently live with your partner? Yes
61 Is this the person you provide care for? Yes
62 Do you get any of these income-related None of these
benefits?
Income Support
Income-based Jobseeker’s
Allowance
Income-related Employment and
Support Allowance
Pension Credit
None of these
63 Does Farman Awsatzrar get any of these Don't know
income-related benefits?
Income Support
Income-based Jobseeker’s
Allowance
Page 11 of 19
Income-related Employment and
Support Allowance
Pension Credit
Don’t know
None of these
64 Do you consent to Social Security Question not asked
Scotland temporarily reducing the
amount of your Carer Support Payment
if it will stop you being overpaid by
DWP?
65 Do you consent to Social Security No
Scotland temporarily reducing the
amount of your Carer Support Payment
if it will stop your partner being overpaid
by DWP?
66 Do you consent to Social Security Question not asked
Scotland temporarily reducing the
amount of your Carer Support Payment
if it will stop you or your partner being
overpaid by DWP?
67 Cared for person’s first name Farman
68 Cared for person’s last name Awsatzrar
69 Cared for person’s date of birth 30-07-1995
70 What is Farman Awsatzrar’s National NJ 46 35 71 D
Insurance number?
71 What is Farman Awsatzrar’s Child Question not asked
Reference number?
72 Does Farman Awsatzrar live at the same Yes
Page 12 of 19
address as you?
73 What is Farman Awsatzrar’s address? 2/1
41 LARCHFIELD AVENUE
GLASGOW
G14 9YG
Scotland
74 Which benefits does Farman Awsatzrar • Adult Disability Payment - daily
get? living component
Adult Disability Payment – daily
living component
Child Disability Payment – middle
or highest care rate
Attendance Allowance
Pension Age Disability Payment
Constant Attendance Allowance
at or above normal maximum rate
with Industrial injuries
Disablement Benefit
Constant Attendance Allowance
at or above the basic (full day)
rate with a War Disablement
Pension
Armed Forces Independence
Payment
Personal Independence Payment
– daily living compenent
Disability Living Allowance –
middle or highest care rate
Scottish Adult Disability Living
Allowance
I do not know
None of these
75 Does Farman Awsatzrar have anybody No
Page 13 of 19
managing their affairs?
76 Who is managing Farman Awsatzrar’s Question not asked
affairs?
77 Do you get paid to provide care for No
Farman Awsatzrar?
78 Do you provide care for Farman No
Awsatzrar through a charity or
volunteering scheme?
79 How many hours a week do you spend 35 or more
caring for Farman Awsatzrar?
80 Does anyone else spend 35 hours or No
more each week providing care for test
Farman Awsatzrar?
81 Does the person who also provides care Question not asked
for Farman Awsatzrar receive Universal
Credit Carer’s Element or Carer’s
Allowance?
82 Have you had any temporary stops in No
care since 11 September 2024?
Page 14 of 19
Employment and earnings
83 Have you been an employee at any time No
since 05 March 2025?
84 Are you currently an employee? Question not asked
85 How much do you earn after expenses? Question not asked
86 Have you been self-employed at any No
time since 05 March 2025?
87 Are you currently self-employed? Question not asked
88 When did you stop being self- Question not asked
employed?
89 Business you own Question not asked
90 Have there been any changes to your Question not asked
normal pattern of business since 10
March 2024?
91 Have you had any additional earnings Question not asked
since 09 February 2025?
92 Have you paid any expenses like these Question not asked
since 09 February 2025?
93 How would you like to send us your • Question not asked
supporting information?
94 Tell us what supporting information you Question not asked
will post
Page 15 of 19
Supporting information Question not asked
95 The maximum number of files that can Question not asked
be uploaded has been reached, would
you like to post us any further
supporting information?
Page 16 of 19
Payment details
96 How do you want to be paid? UK bank account
97 Name on account Zainab A Zrary
98 Sort code ******
99 Account Number ********9963
100 Roll number or reference number Question not asked
101 Is this your bank account? Yes
Page 17 of 19
Submit your application
Things you need to agree with before you apply
As part of your application we’ll do checks to confirm your identity.
We might need to see documents as proof of your identity. If we do, we’ll
contact you to ask you to book an appointment.
You do not need to do anything just now.
You need to read and agree with the following statements before you can submit
your application to Social Security Scotland.
As far as I know and believe, I declare that the information I have given in this
form is correct and complete.
I understand that I may be prosecuted if I provide details that are not correct or
complete.
I confirm that I am using my own bank account, or if I’m using someone else’s
bank account, then they have given me permission to use their bank account
for my application and that they’ve been made aware of Social Security
Scotland’s privacy notice.
If I am acting on behalf of an entitled individual, I agree to be liable to pay
Social Security Scotland the value of any assistance given in error, unless that
error is neither my fault nor the kind of error that a person acting on an
individual’s behalf could reasonably be expected to notice.
I understand that if I am (or, where applicable, the individual that I act on behalf
of is) paid too much following this application, money may be taken back from
me, stopped or reduced in the future.
I agree to update Social Security Scotland straight away if there are any changes
to the details of my circumstances (or, where applicable, the circumstances of
the individual that I act on behalf of) that I have given in this form.
I confirm that the person I provide care for has given me permission to use their
personal details in my application.
I have made them aware that they can find Social Security Scotland’s privacy
notice online or by calling Social Security Scotland free on 0800 182 2222 and
then selecting Carer Support Payment.
I confirm that the person I provide care for is happy for Social Security Scotland
to notify me about their benefit status as part of my application.
Page 18 of 19
I confirm that the person I provide care for is happy for Social Security Scotland
to contact them about my application.
I confirm that I’m happy for Social Security Scotland to speak to the person I
provide care for about my application.
I have read and agree with the statements Yes
above.
Page 19 of 19
