Council Tax - Single Person Discount Claim Form

By completing the form below, you have declared that the information you have provided is correct. Providing false information to claim a Council Tax discount is a criminal offence.
 
 
You will find your nine digit account reference number on your Council Tax bill. (This number will start with a 9)

If you have recently moved into your new home and not yet received a Council Tax reference number, please leave this blank.
 
All fields marked with (*) are mandatory.
 
 
 
The address of the property where you wish to claim a single person discount
 
 
Is this your only residence? *
 
If no, please supply the address of you other residence below:
 
 
If we have a query in processing your application, we may need to speak to you. Please provide a daytime telephone number where you can be contacted.
 
 
 
 
This is the date when you became the only adult living in the property.
 
 
If you are claiming a discount because someone has recently left your household, please provide the following information:
 
 
 
If you are now the sole adult occupier due to the death of a previous occupier, could you provide the following information:
 
 
 

Declaration

 
The information given on this form is correct. If my circumstances change whereby I would not be entitled to the Single Person Discount I will inform the Council Tax office immediately. I understand that failing to do so, or providing false information may lead to prosecution
 
 
Please note: After you have submitted this form, confirmation of your submission will result in a reference number being displayed on screen

 
The personal details given will be held by RBWM and processed in accordance with the principles of the Data Protection Act 1998 (DPA).

Your details will not be shared with third parties. A simple guide to your rights under DPA is available on our website: http://www.rbwm.gov.uk/web/foi_dpa_fair_processing.htm
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Modified: 2008-01-22
Published: Wed, 11 Sept 2013 14:38
Author: Simon Arthur
Editor: Admin
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