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Discount Review
Discount Review
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Reference
Q1. Reference Number
*
Your reference number is located at the top of the letter you received.
Questions
Q2. Are you the only person aged 18 years or older living in this property?
Please Select...
Yes
No
If you answered Yes to the question above please go to Question 4.
If you answered No to the question above please go to Question 3.
Q3. Please list all occupants aged 18 or over living in your property (Do not include yourself):
(If you believe that any of these occupants should be disregarded for Council Tax purposes, please indicate the reasons in the column below from this
full list of Council Tax discounts and disregards
)
Full Name
Date moved in
Date became 18
Previous Address
Discount/Disregard Reason
Relationship to this person?
Full Name
Date moved in
Date became 18
Previous Address
Discount/Disregard Reason
Relationship to this person?
Full Name
Date moved in
Date became 18
Previous Address
Discount/Disregard Reason
Relationship to this person?
Full Name
Date moved in
Date became 18
Previous Address
Discount/Disregard Reason
Relationship to this person?
Q4. Are there any residents in your property currently aged 16 or 17 years?
Please Select...
Yes
No
If you answered No to the question above please go to the declaration.
If you answered Yes to the question above please provide the information below.
Please list all occupants aged 16 or 17 years living in your property:
Full Name
Date of Birth
Relationship to this person?
Full Name
Date of Birth
Relationship to this person?
Full Name
Date of Birth
Relationship to this person?
Declaration
By ticking this box you declare that the information I have given is true and correct.
(We will take legal action against anyone who fraudulently claims a discount)
Name
Address
Contact Telephone Number
Email Address
*
How will we use your personal information?
The information that you provide or which is obtained from other sources will be used by the Council to administer and calculate your entitlement or liability to benefits or taxes.
The Council has a duty to protect the public funds it administers and may use your information for the prevention and detection of fraud.
For further information about the National Fraud Initiative see
www.fareham.gov.uk/dpnfi
.
The information may also be used for auditing, monitoring, statistical and other research.
The information we hold may also be shared with other Council or Governments departments, agencies and similar organisations (including law enforcement agencies and credit reference agencies) to enable them to perform their functions or for comparison purposes.
The information we hold about you is normally retained for seven years.
Further information about privacy and how the Council handles your data, including your rights,
can be found on our website
.
