Business Rates Relief Review Form

According to our records, you are currently in receipt of mandatory and or discretionary relief. To ensure that your circumstances have not changed and you are still entitled to this relief, please complete the review form below.

Business rates reference number:

Your business rates reference number can be found on your bill or review letter. It will be ten digits in length and will begin with either 06 or 70.

Ratepayer Name:

Address of Rated Premises

Address line 1:

Address line 2:

Address line 3:

Address line 4:

Address line 5:

Postcode:

Correspondence Address

Address line 1:

Address line 2:

Address line 3:

Address line 4:

Address line 5:

Postcode:

Your Website address:

Owners Name:

Owners Address

Address line 1:

Address line 2:

Address line 3:

Address line 4:

Address line 5:

Postcode:

Rateable Value:

Section 2

Evidence Required

Please confirm the type of relief that you are currently in receipt of:

Please upload your evidence here:

Choose file

Please note there is a file restriction of 5MB and only the following files types are allowed PDF, JPEG, RTF, DOCX, DOC, EXCEL. You can also upload a photograph taken on your smart phone or tablet.

Section 6

Sports Organisations

Are you a sports organisation?

Yes

Section 7 Declaration

Please use this section to provide us with any clarifications or additional information you feel may be relevant:

Name:

Position within organisation:

Daytime Telephone Number:

Email Address:

If you would like a receipt to confirm that your review has been successfully submitted, please tick here.

I confirm that all the information given in this form is true to the best of my knowledge and belief. I understand if any information that I give is found to be inaccurate, the relief will be immediately cancelled and removed with effect from the appropriate date.

Address of Rated Premises

Correspondence Address

Owners Address

Section 2

Evidence Required

Section 3

About The Organisation

Do you actively encourage membership from particular groups in the community?

Section 4

About Your Premises

Section 5

Membership Of Your Organisation

Please confirm the membership fee for:

Section 6

Sports Organisations

Please confirm the amount of your playing/non-playing members

Section 7

Declaration