If we have told you that you cannot apply online, you need to complete an application for help with health costs (HC1 form) and post it back to us.
Evidence to support your application
You must include proof of your income with your HC1 application form.
Employed
If you're employed, you must send proof of your earnings:
- if you get paid weekly or fortnightly, you must send your 5 most recent payslips
- if you get paid monthly or four-weekly, you must send your 2 most recent payslips
If you cannot send these payslips, complete the LIS82 proof of income form (PDF: 253KB) and send it with your application.
Self-employed
If you're self-employed, you must send your profit and loss accounts for a period representing at least 6 months. The period they cover must end within 12 months of the date of your claim. If you're also claiming a refund, the period they cover must end within 12 months of the date you paid the charges.
If you cannot send profit and loss accounts, you can send a trading account showing your business receipts and expenses for the period ending within 12 months before the date of the claim.
You'll also need to complete self-employment proof of income form LIS61 (PDF: 251KB) and send it with your application.
If the business has been trading for less than a year, or the trading pattern has recently changed, the assessment period will be adjusted to reflect this.
Students
If you're a student, you must send:
- an award notice or other evidence of all the money you get from grants, bursaries and awards
- a copy of the financial assessment that was carried out if you applied for a student loan - even if you did not get the loan
If you work while studying, you must also send proof of your employed or self-employed earnings.