BACs form

Landlords BACs form (doc code BCLBACS)

About your data
We will ask you for information in order to handle your enquiry and we may use it to contact you. Our privacy policy explains how we handle your personal data.
Tenant's details
Landlord ref (if known)
Tenant's name
Tenant's address
Tenant's postcode
Landlord's details
Name
Address (including postcode)
Contact telephone number
Email address
Confirm email address
Claim ref (if known)
Bank name
Bank address (including postcode)
Account name
Account number
Sort code
Declaration
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.
I confirm that I have read and understood the above declaration, and will notify the Housing Benefit Section immediately if my/my tenants circumstances should change.
To help us avoid abuse of our system, please enter the correct answer to the question below:

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Landlord BACS transfer request