Disabled Relief Application Form

Business Rates - Mandatory and Discretionary Relief
1. Label
  1. What you need to complete this form:
    
    Details of the organisation liable to pay Business Rates.
    
    The following evidence should be provided in support of your application:
    a) A plan or drawing showing the layout of each floor within the premises and indicating the use of each room or section. Architect plans/drawings are preferred but hand written plans/drawings are acceptable.
    b) Memorandum of Association or Constitution of the organisation.
    
    An opporutnity to upload this evidence is provided at the end of the form so please have this ready prior to starting your application.
The Ratepayer and the Property
1. Business Rates Account Number
2. Trading Name of Business
3. Legal Name of Business (if different to trading name)
4. Legal Structure of the Business
5. Please specify the legal structure of the business:
6. Companies House Registration Number or Charity Registration Number (if applicable)
7. Date relief is being claimed from
8. Property address
  1. Address lookup
    
    Postcode*
    
    Address
  2. Label
  3. Flat Number
    
    Building Number
    
    Street
    
    Town
    
    County
    
    Postcode
9. What is the property used for? (e.g. shop, hairdressers etc.)*
10. When did you become responsible for the property?*
11. Is the property currently occupied?*
12. Has the property been continually occupied from the date you are applying?
13. When did the property become unoccupied?
14. When did the property become occupied?
15. Name of person or business who occupies the property:
16. Contact Details
  1. Name of person completing the form*
  2. Status within the organisation*
  3. Telephone (Daytime)
  4. Email
    
    As you provided us with an email address we will send your bill to you electronically
    Please confirm you want to receive your bill electronically?
    
    Ebilling requested
    
    Yes
    
    No
  5. What is your relationship with the property?*
Landlord Details
1. Name of Landlord
2. Landlord's Phone No. :
3. Landlord's Email :
4. Landlords Address
  1. Address lookup
    
    Postcode
    
    Address
  2. Label
  3. Flat Number
    
    Building Number
    
    Street
    
    Town
    
    County
    
    Postcode

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Disabled Relief Application Form

What you need to complete this form: