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Council Tax application for reduction for a person with a disability

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Please ensure that you have read and understood the notes relating to this form before completing.
Only people who are liable to pay Council Tax can apply.
Please enter your postcode in the box below, including the space, ie RH8 0BT, and click the search button.






Please enter the postcode in the box below, including the space, ie RH8 0BT, and click the search button.






Does the disabled person usually live here *


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Grounds for application

Is there a second bathroom or kitchen required for meeting the needs of the disabled person *


Is there a room (other than a bathroom or kitchen ) which is predominantly used by and required for meeting the needs of the disabled person *


Is there a wheelchair used indoors by the disabled person *


Declaration

The information given on this form is correct. I will notify you immediately if I think that I may no longer be eligible for a reduction granted in respect of this application.

I confirm that I have read and understood the statement above *

Signature
Date
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