Claimant/landlord/third party BACS transfer request

Basingstoke and Deane Borough Council is the data controller for the personal information you provide on this form. You can contact the council 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

The personal information you provide will be used to process your request. It is necessary for you to provide this information to us so that we can process your request/provide the service you have requested.

• We may share your information with other teams within the council in order to provide a service to you, to ensure our records are kept up to date or otherwise where we are required to do so.
• We will not disclose any information to other organisations unless we are required by law to do so or to prevent fraud.
• Your personal details will only be held as long as is needed for this purpose and in accordance with our retention policy.

Please read our full privacy statement for information on how we collect, use and keep your personal information.

I declare that the information I have given is true.

I understand that to provide false information or to contrive a tenancy with a tenant in order to obtain Housing Benefit is a criminal offence. To do so could result in prosecution and recovery of any benefit granted.

In making this request, I understand that it is my responsibility to check this bank account on a regular basis. I undertake to repay any payment made by Basingstoke and Deane Borough Council into this account if I am not entitled to it.

I understand that I can be prosecuted if I accept benefit that I know I am not entitled to.

To help us avoid abuse of our system, please enter the correct answer to the question below: