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.
For further details on how your information is used; who we may share your information with; how we maintain the security of your information and your rights, including how to access information we hold on you and how to complain if you have any concerns about how your personal details are processed, please read our privacy statement.
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:
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