Income support

You will need to submit the following documents:

New application for income support

• Your income tax declaration. Remember to include all pages of the declaration. If you can’t find your income tax declaration or have not submitted one, please contact the
  Swedish Tax Agency on 0771 567 567 and ask for a copy of the declaration or a certificate stating that you have not declared your income.
• Account summary from all banks where you have accounts. This shall be submitted even if you only have one account at a bank. (An account summary is a list of the accounts you have with a bank.)
• Bank statements for the past three months for all of your accounts at all
  banks at which you have accounts. You also need to provide bank statements for closed accounts and
  overseas accounts.
• If you have stocks and/or shares, you must submit a list of these
  assets covering the last three months. This also applies to closed
  
• Any current decisions applicable to you, for example from Försäkringskassan, your unemployment benefit fund, Alfa-kassa, CSN and the Swedish Public Employment Service.
• Specifications of all income for the past three months, such as wage slips, unemployment benefit and Alfa-kassa payment slips, etc.
• A copy of your lease and current rent invoice (the entire invoice, including the
  upper section).
• A copy of your sublease or lodger agreement and current rent invoice (the entire invoice, including the
  upper section) and receipt for your most recent rent payment.
• If you are a member of a tenant-owner association or house owner: title deed, mortgage invoice including details of your mortgage, interest, repayments and monthly tenant-owner association fees.
• Proof of the expenses you wish to claim for, such as your electricity bill,
  rent, home insurance, trade union fee, childcare, etc. NB! Submit all pages of the invoices.
• When claiming medication expenses, submit the section of the receipt called "receptspecifikation" [prescription specification], as this shows whether the medication is subsidised under the high-cost protection scheme.
• Your current personal plan agreed with the Swedish Public Employment Service.
• Study and employer certificates if you are studying or working.
• Doctor’s certificate if you are on sick leave.
• Residence permit decision and CV report from the Swedish Migration Agency.

If you are continuing a claim for income support, you will not need to submit all of your documents again. You must be planning actively and it is your responsibility to ensure that social services is updated regarding the basis of planning. For example, you must be able to produce:

• your current personal plan agreed with the Swedish Public Employment Service office at which you are registered
  as a jobseeker;
• a valid doctor’s certificate if you are prevented from
  seeking work due to illness;
• a study certificate if you are a student and certificate of attendance if you are studying Swedish for Immigrants (SFI);
• proof of varying monthly bills you are claiming payment for, such as electricity and water;
• if there are changes to your other expenses (e.g. rent increase, new period of
  home insurance), you must submit new proof;
• proof of any variable income, e.g. wage slip;
• proof of medical costs you are claiming for; and
• cost proposals whenever you apply for spectacles or
  dental care.

All fields in the form must be completed. If you fail to fill in all of the required information on the application form, your claim will be incomplete. Contact your income support case officer if you have any questions or if you would prefer to claim online.

CLAIM RELATES TO THE MONTH OF *Required information

In this box, enter the month your claim relates to. If the claim relates to other benefits, this should be stated under the heading.

CASE OFFICER

If you know the name of your case officer, please write it in this box. Otherwise, write “Don’t know”.

PERSONAL DETAILS OF THE CLAIMANT

Fill in the name, personal identity number and contact details of those applying for financial assistance. If you are married or cohabiting, include the details of the co-claimant.

CIVIL STATUS *Required information

State whether you are married, cohabiting or live alone.

IS THERE A CO-CLAIMANT? *Required information

State the name of any co-claimants under this heading. Please note that, as a rule, married couples must claim together, even if divorce proceedings have begun. Cohabitees are also required to claim together.

CITIZENSHIP OF CLAIMANT AND CO-CLAIMANT *Required information

State your citizenship here. If you are not Swedish citizens, you must state what kind of residence permit you have. If you have a temporary residence permit, state the period of validity.
If you are not Swedish citizens, you also need to state the decision class. You will find this information in the decision you received from the Swedish Migration Agency. If you are not a Swedish citizen
you will need to submit a copy of the decision you received from the Swedish Migration Agency.

THERE ARE CHILDREN UNDER 18 YEARS OF AGE OR YOUNG PEOPLE STILL IN SCHOOL IN THE HOUSEHOLD *Required information

If there are children under 18 years of age or you have children who are still studying at upper-secondary school or the equivalent, check yes and state the child(ren)’s full name(s) and personal identity number(s). If
the they do not reside permanently at your address, state how many days a month they live with you.

BANK ACCOUNT DETAILS *Required information

Fill in the name of your bank. If you have accounts with more than one bank, indicate this in the box for the bank’s name. It is important that you state how many bank accounts you have. Fill in the account and clearing number for the bank account you would like
any income support you are granted paid into.

HAVE YOU APPLIED FOR MAINTENANCE SUPPORT? *Required information

If you do not have any children, check the no box.
If you have children, state whether you have applied for maintenance support and, if so, when you submitted your claim. If you have not applied for maintenance support, state why not. If a child’s parents live together, there is no need
to apply for maintenance support.

ACCOMMODATION *Required information

Under the heading Accommodation, state the type of accommodation you live in by checking the alternative that applies to you.

You also need to state how many people live there, how many rooms you have, whose name is on the lease and how much rent you pay (not including parking, water, electricity and similar costs).

HAVE YOU APPLIED FOR HOUSING ALLOWANCE? *Required information

If you have applied for housing allowance, check yes and state when you submitted your claim.
If you have not applied for housing allowance, check no and state why not.

Only parents or people between 18 and 28 years of age can claim housing allowance.

THE CLAIM RELATES TO * Required information

Fill in the due dates and amounts of the expenses you are claiming income support for. Expenditure that you are not claiming for should be indicated by writing SEK 0 in the box. It is important to fill in all of the boxes under expenses. If you do not fill in all of the boxes, your claim will be incomplete.

Example: If the household’s rent is SEK 3,000/month and you do not have any electricity costs, fill in the boxes as follows:

If you claim for medical expenses, including medicines, you need to state which member of the household the expenses relate to. Medical expenses are only approved if they are covered by the high-cost protection scheme.

HAVE YOU WORKED IN THE PAST YEAR? *Required information

Check this box if you have worked during the past year.

• If you have not worked during the past year, check the no box.
• If you have worked during the past year, check the yes box and write the date of your claim for unemployment insurance (A-kassa) or Alfa-kassa and the date of the decision regarding benefits. If you do not receive any remuneration from
  A-kassa or Alfa-kassa, explain why.

INCOME *Required information

Fill in all of your household income over the past three months, as well as any income the household is due to receive. If the household does not have a given income, write SEK 0 in the box. It is important that you fill in the dates
of payments.

Example: The claimant has a wage paid on the 25 November, housing allowance paid on the 27 December and child allowance paid on the 27 January.

If there are any co-claimants, their income must also be reported. This is done in a separate table.

INCOME SUPPORT FROM ANOTHER MUNICIPALITY *Required information

State whether you receive any financial assistance from another municipality. If you answer yes, state the period for which you have received assistance.

DOES ANY MEMBER OF THE HOUSEHOLD HAVE ANY DEMANDS FROM THE SWEDISH ENFORCEMENT AUTHORITY *Required information

State whether any member of the household has any demands for payment from the Swedish Enforcement Authority by checking yes or no.

HOUSEHOLD EXPENSES *Required information

This is where you declare your household income over the past three months. If the household does not have a given expense, write SEK 0 in the box.

Example: This is how claimants should fill in the table.

• The claimant pays monthly rent of SEK 3,500. Invoices are due for payment on various dates: 30 November, 31 December and 31 January.
• The claimant has two electricity bills with different due dates: 29 November and 29 January.
• The claimant does not owe any trade union membership fees.

When claiming medical expenses, you will need to state which member(s) of the household the expenses relate to and the date the expense was incurred. Generally speaking, medical expenses are only approved if they are
covered by the high-cost protection scheme.

FINANCIAL ASSETS *Required information

Funds held in bank accounts, shares, bonds, mutual funds, cash.

Check yes if you have financial assets according to the above heading. State which type(s) of assets you have and estimate the value.

Vehicles

Check yes if you have one or more vehicles registered in your name. State the registration number(s), year of purchase and purchase price. Check no if you do not own a vehicle.

Boats, motorcycles, mopeds, caravans, motorhomes

Check yes if you have any of the above. State the registration number(s), year of purchase, purchase price and estimated value. Check no if you do not own any of the above.

Tenant-owner apartment, house, holiday home, other real estate

Check yes if you own any of the above. Specify the property you own, the year of purchase and purchase price.
Check no if you do not own any of the above.

Artworks, jewellery or other realisable assets

Specify any of the above that you own. State the estimated value of these assets.

BUSINESS *Required information

Check yes if you are registered as a business owner, state the name of the company and the financial assets owned by the company. Check no if you do not own a company.

ANY OTHER INFORMATION YOU WOULD LIKE TO PROVIDE

If there is any other information that you would like your case officer to know, write it here.

CONSENT *Required information

By signing the form you give your consent to us contacting any interested parties regarding the expenses you are claiming for in order to investigate your claim. You also consent
to the inclusion of any income from other public authorities and employers that you have not declared in your application in our calculation. If you wish to consent to us contacting any other organisations or individuals, you
can do so here. If you wish to withhold your consent to us contacting any organisation or individual, you should state this under the heading Consent.

SIGNATURE AND AFFIRMATION OF TRUTH *Required information

In the case of married or cohabiting couples, both applicants must sign the form for the claim to be deemed complete. Fill in the date of signature and sign the form. By signing your claim form, you attest that the information contained therein is complete and correct. You undertake to inform Social Services income support immediately of any changes to the information. You certify that you are aware that it is a criminal offence to submit incorrect information and that to do so may result in a report of suspected benefit fraud being sent to the police and that you will be obliged to repay any financial assistance paid on the basis of incorrect or incomplete information.

All fields in the form must be completed. If you fail to fill in all of the required information on the application form, your claim will be incomplete. Contact your income support case officer if you have any questions or if you would prefer to claim online.

CLAIM RELATES TO THE MONTH OF *Required information

In this box, enter the month your claim relates to. If the claim relates to other benefits, this should be stated under the heading.

CASE OFFICER

If you know the name of your case officer, please write it in this box. Otherwise, write “Don’t know”.

PERSONAL DETAILS OF THE CLAIMANT

Fill in the name, personal identity number and contact details of those applying for financial assistance. If you are married or cohabiting, include the details of the co-claimant.

HAS ANYTHING CHANGED SINCE YOUR LAST CLAIM? *Required information

Under this heading, it is important that you write details of any changes since your last claim; for example, employment, family relationships, change of address, a child leaving home or a child living at home graduating from
upper-secondary school.

Accommodation/finances

Under this heading, you need to write down any changes to your housing situation since your last claim; for example, any rent increase, change of address or new lodger. Fill in any
changes to household income. It is important to fill in any new income since your last claim, such as wages or any benefits granted by another public authority. You must also tell us if you have submitted
a benefits claim to another public authority. If there have not been any changes under a given heading, check “no”.

THE CLAIM RELATES TO * Required information

Fill in the due dates and amounts of the expenses you are claiming income support for. Expenditure that you are not claiming for should be indicated by writing SEK 0 in the box. It is important to fill in all of the boxes under expenses. If you do
not fill in all of the boxes, your claim will be incomplete.

Example: If the household’s rent is SEK 3,000/month and you do not have any electricity costs, fill in the boxes as follows:

If you claim for medical expenses, including medicines, you need to state which member of the household the expenses relate to. Medical expenses are only approved if they are covered by the high-cost protection scheme.

INCOME *Required information

Fill in all of your household income over the past three months, as well as any income the household is due to receive.

If the household does not have a given income, write SEK 0 in the box. It is important that you fill in the payment dates.

Example: The claimant has a wage paid on the 25 November, housing allowance paid on the 27 December and child allowance paid on the 27 January.

If there are any co-claimants, their income must also be reported. This is done in a separate table.

INCOME SUPPORT FROM ANOTHER MUNICIPALITY *Required information

State whether you receive any financial assistance from another municipality. If you answer yes, state the period for which you have received assistance.

ANY OTHER INFORMATION YOU WOULD LIKE TO PROVIDE

If there is any other information that you would like your case officer to know, write it here.

CONSENT *Required information

By signing the form you give your consent to us contacting any interested parties regarding the expenses you are claiming for in order to investigate your claim. You also consent
to the inclusion of any income from other public authorities and employers that you have not declared in your application in our calculation. If you wish to consent to us contacting any other organisations or individuals, you
can do so here. If you wish to withhold your consent to us contacting any organisation or individual, you should state this under the heading Consent.

SIGNATURE AND AFFIRMATION OF TRUTH *Required information

In the case of married or cohabiting couples, both applicants must sign the form for the claim to be deemed complete. Fill in the date of signature and sign the form. By signing your claim form, you attest that the information contained therein is complete and correct. You undertake to inform Social Services income support immediately of any changes to the information. You certify that you are aware that it is a criminal offence to submit incorrect information and that to do so may result in a report of suspected benefit fraud being sent to the police and that you will be obliged to repay any financial assistance paid on the basis of incorrect or incomplete information.