Disabled Relief Review

Disabled relief review form

Privacy Statement
Basingstoke and Deane Borough Council is the data controller for the personal information you may provide. You can contact us by phone on 01256 844844, via email to customer.service@basingstoke.gov.uk or by writing to us at Civic Offices, London Road, Basingstoke, RG21 4AH. The Council’s Data Protection Officer can be contacted at dpo@basingstoke.gov.uk.
Your information will be used so that we can administer your council tax account and collect council tax from you. Your personal data may be shared with other teams within the council in order to provide a service to you. We may also share it with other local authorities, Valuation Office Agency or debt collection agents if necessary for the collection of council tax. We may share the data with third parties if we are required by law to do so. Please read our privacy statement on how your information is used.
We will keep your details on our council tax database for seven years after you cease to have an account with the council.
Find out about your rights under General Data Protection Regulations (GDPR)
If you are not happy with the way the council is handling your personal information you have the right to lodge a complaint with the Information Commissioner’s Office.
Please tick to confirm that you have read and understood the above privacy statement *
Account reference *
Property address
Address 1 *
Address 2
Town
Postcode
Please complete either:
- Section A - I am still entitled to Disabled Relief and Section C - Declaration OR
- Section B - I am no longer entitled to Disabled Relief and Section C - Declaration.
Section A - I am still entitled to Disabled Relief
I confirm that there has been NO CHANGE that would affect considerations for the entitlement to Disabled Relief
Title
First Name
Last Name
Is the disability permanent?Yes No
What is the disability?
Grounds for application
1. Is a wheelchair used indoors by the disabled resident?Yes No
2. Is there a second bathroom or second kitchen required for meeting the needs of the disabled resident?Yes No
3. Is there a room predominantly used by and required for meeting the needs of the disabled resident? (Not a bathroom or kitchen)Yes No
If you have selected option 3, please explain in detail which room is being used in the property to accommodate the needs of the disabled resident.
Section B - I am no longer entitled to Disabled Relief
I confirm that there has been A CHANGE that would affect consideration for Disabled Relief (for example the disabled person has now moved out of the property).
Title
First Name
Last Name
Date change effective from (dd/mm/yy)
Reason
Section C - Declaration
Please confirm the name of the person completing this form and contact details, as we may have further questions regarding the Disabled Relief Reduction
Name of person completing form *
Telephone number
Email address
I would like to receive text alerts to get a reminder *Yes No
I would like to receive my bill via email (once opted for an e-bill all future bills will be sent electronically? *Yes No
If you wish to tell us about any future changes to your circumstances/address or payment method, plus many other functions will be available to you, the easiest and quickest way to do so is by setting up a self-service account using the following link: https://www.basingstoke.gov.uk/self-serve-counciltax
To help us avoid abuse of our system, please enter the correct answer to the question below:

What colour is grass?

Disabled Relief Review

Section A - I am still entitled to Disabled Relief

Section B - I am no longer entitled to Disabled Relief

Section C - Declaration

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