By signing below, I confirm that:

• 1. The information I have provided is true and complete.

• 2. I appoint Richmond Carter Ltd as my authorised tax agent for my Home Responsibilities Protection (HRP) claim, and consent to them preparing and submitting the required HMRC/DWP forms (including CF411, 64-8, Letter of Authority, NI statement request, and Pension Forecast, on my behalf.

• 3. I authorise Richmond Carter Ltd to receive correspondence and payments directly from HMRC/DWP and to forward settlement to me, after deducting their fee in line with [Fees].

• 4. I confirm that I understand and consent to Richmond Carter Ltd acting on my behalf, and that I have the ability and capacity to make this decision.

• 5. I have read and agree to the [Terms & Conditions] and [Draft Conditional Fee Agreement].

• 6. I have been given the opportunity to review draft versions of the forms and documents my digital signature will be applied to: [View Draft Documents].