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 firstname.lastname@example.org or by writing to us at Civic Offices, London Road, Basingstoke RG21 4AH. The council’s Data Protection Officer can be contacted at email@example.com
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.
Please read our full privacy statement for information on how we collect, use and keep your personal information.
Your details (Landlord)
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.
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