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Council Tax reduction for disabilities form

 

Applicant's details:

 
 
 
 
 

Disabled person's details:

 
 
Please note that this person must live at the address for which a reduction in Council Tax is being claimed
 
 

Grounds for application:

 
Is a room set aside which is predominently used by and required for meeting the needs of the disabled person?
Is a room set aside which is predominently used by and required for meeting the needs of the disabled person?
 
Is a second bathroom or second kitchen required for meeting the needs of the disabled person?
Is a second bathroom or second kitchen required for meeting the needs of the disabled person?
 
Is a wheelchair used indoors by the disabled person?
Is a wheelchair used indoors by the disabled person?
 

Declaration:

 
The details given on this form are correct. I will inform the Revenues & Benefits Service if I believe I am no longer eligible for a disabilities reduction in Council Tax
 
 
Date 
 

Data Protection

 
The information that you provide will be processed in accordance with the provisions of the Data Protection Act -1998 and relevant legislation. This authority has a duty to protect public funds it administers, and may use information held about you for the prevention and detection of fraud and other lawful purposes. This may include, but not be limited to, matching Council Tax data with Electoral Registration records and credit agency information. The Council will also use the information for the purpose of performing any of its statutory enforcement duties. It will make any disclosures required by law and may also share this information with other bodies responsible for detecting / preventing fraud or auditing / administering public funds. We will not disclose your personal information to third parties for marketing purposes.

Further information can be obtained from the Council & Democracy section of our website www.leicester.gov.uk, by e-mailing data.protection@leicester.gov.uk or by contacting the Information Departmental Coordinator, Leicester City Council, Strategy & Performance, Adults & Housing Department’ New Walk Centre, Welford Place, Leicester, LE1 6ZG, email: hsng.foia@leicester.gov.uk.

 
If you have any questions about this form please telephone us on 0116 454 1005, email us at council.tax@leicester.gov.uk or visit us at REVENUE & BENEFITS SERVICE, YORK HOUSE, 91 GRANBY STREET, LEICESTER, LE1 6FB.
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