Carers discount form

1. The council tax payable could be reduced if one of the residents is employed to provide care to the other household member.
  
  This form should be completed by the person who is providing the care.
  
  For more information and advice please visit the Carers Council Tax discounts page.
  
  This form has one page of questions and should take around 5 minutes to complete.
2. The Applicant (this form must be completed by the person who is liable to pay the Council Tax)
  1. Council Tax Reference Number
  2. Applicants name
  3. Address line 1
  4. Address line 2 (optional)
  5. Town/city
  6. Postcode
  7. Telephone number (optional)
  8. Email address
  9. Mobile phone number (optional)
3. Carer, the dwelling must be his or her sole or main residence
  1. Full Name
  2. Is the person receiving the care your- husband, wife, partner or a child under 18?
    
    Yes
    
    No
  3. Average number of hours per week spent caring?
  4. How many residents of the property will be aged 18 or over by next April?
  5. Care recipient (The dwelling must be his/her sole or main residence.)
    
    Full name of person received the care
    
    Type of benefit received
    
    Evidence provided (optional)
    
    Upload evidence (optional)
  6. Declaration
    
    I certify that the information given is to the best of my knowledge, true, accurate and complete. I undertake to notify you should any of the information on this form change within 21 days of the change occurring otherwise I may incur a penalty of £50
    
    Please tick the box to confirm you agree to the above statement
  8. Preston City Council will use your information in a manner compatible with the General Data Protection Regulation (GDPR).
    
    Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice .

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Carers discount form