Council Tax - Disablement Relief On Line Form

Please complete this form to make a claim for disablement relief against your Council Tax bill.

» Required Fields

APPLICATION DETAILS

Note - only people who are liable to pay Council Tax can apply for a reduction

» Name

» Address

Daytime telephone number (Including STD code)

Mobile telephone number

e-mail address

DISABLED PERSON

The disabled person MUST be living in the dwelling for which the reduction is being sought

» Name

Address of property

GROUNDS FOR APPLICATION

» Is there a room which is mainly used by and required for meeting the needs of the disabled person?

» Is there a second bathroom or kitchen required for meeting the needs of the disabled person?

» Is there a wheelchair used indoors by the disabled person?

DECLARATION
The information given on this form is correct. I undertake to notify you immediately if I believe that I am no longer eligible for a reduction granted in respect of this application.

» Tick this box if you agree with the declaration

Tick here if you agree

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