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? *
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.
The date from which you wish to claim a Single Person Discount (DD/MM/YY) 
This is the date when you became the only adult living in the property.
Today's date 
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:


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
Tick this box if you agree with this declaration *
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:
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Modified: 2014-12-04
Published: 2014-12-04 16.58
Author: Simon Arthur
Editor: Admin