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Council Tax application for reduction for a person with a disability
Please ensure that you have read and understood the
relating to this form before completing.
Only people who are liable to pay Council Tax can apply.
Name of Applicant
Name of disabled person
Address of disabled person if different from above
Does the disabled person usually live here
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
Date from which reduction should apply
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
Name of person completing this form
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