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Council Tax Disablement Banding (DBR) Form

  1. A. Applicant

      (Only people who are liable to pay the Council Tax can apply for a reduction)

      Name and Address:


    1. Please select
    2. Forename(s) are required

    3. Surname is required

    4. Address is required

    5. Town is required

    6. Postcode is required Not a valid postcode format
    1. Contact Details:


    2. E-mail Address is required Not a valid E-Mail format
  2. B. Disabled Person

      (The disabled person must be living in the dwelling for which the reduction is being sought.)

      Name and Address (if different from above)

  3. C. Grounds for Application

      Is there:

    1. Please make a selection
    2. Please make a selection
    3. Please make a selection
  4. Declaration

      I declare that the information on this form is correct, to the best of my knowledge.


    1. You must accept the terms of this Declaration in order to continue

    2. Date is required
    1. WARNING: ANY PERSON WHO SUPPLIES FALSE INFORMATION MAY BE LIABLE TO PROSECUTION. YOU ALSO HAVE A LEGAL OBLIGATION TO INFORM TORRIDGE DISTRICT COUNCIL IF YOU HAVE A CHANGE OF CIRCUMSTANCES WHICH WOULD AFFECT THE DISCOUNT WITHIN 21 DAYS. FAILURE TO DO SO MAY RESULT IN A FINANCIAL PENALTY BEING IMPOSED.

Privacy Notice

Torridge District Council collects, stores and processes your personal information in accordance with the requirements of the General Data Protection Regulation (Regulation (EU) 2016/679) and Data Protection Act 2018.
Our lawful basis has been determined as:
Legal Obligation – in relation to personal data
Substantial Public Interest – in relation to ‘special category’ personal data
Personal information provided on this form may be shared with other council services where this assists in the delivery of those services.
Personal information provided on this form may be shared with third parties where we are legally obliged to do so, or where this is necessary to enable us to provide the service requested.
To view our full privacy policy including information on your rights, how to contact the Data Protection Officer, data retention information, more detail on information sharing and how to provide feedback or make a complaint, please see the privacy pages below or directly from here at www.torridge.gov.uk/privacynotice
Alternatively, a full copy of our privacy policy can be viewed at our main office or a copy can be requested by writing to the Data Protection Officer at Riverbank House, Bideford, Devon, EX39 2QG.

The above information will be held on a computer and as such is subject to the Data Protection Act 1988, and may be used to amend the Council's Non-Domestic Rates or Benefit records

Notes

  1. that there is a physically disabled resident who needs either space for a wheelchair to be used inside the home, or a special or additional kitchen, bathroom or other room; and

  2. that the space or room is essential or of major importance to the wellbeing of the disabled resident because of the nature and extent of his/her disability.

It will help in the consideration of this application if the applicant can supply a note from a doctor, or other qualified professional such as an occupational therapist or social worker, confirming that the disabled resident needs the extra space or room as stated in Section C.

If for any reason you are unable to obtain such confirmation easily, then do not delay your application if you believe you are eligible for a reduction. However, we may subsequently need to ask for evidence in support of your application.

Such a note as mentioned above should be forwarded to:

    Customer Support Manager
    Torridge District Council
    Riverbank House
    Bideford
    EX39 2QG