Isle of Wight Council

Council Tax Application for Reduction for Persons with Disabilities

Notes

Only persons who are liable to pay the Council Tax may apply for a reduction and the dwelling must be the sole or main residence of at least one qualifying individual. A 'qualifying individual' means a person, who is substantially and permanently disabled, (whether by illness, injury, congenital deformity or otherwise).

In assessing this application, the authority will need to be satisfied that: a) There is a disabled resident who needs either space for a wheelchair to be used inside the home or an additional kitchen, bathroom or other room; and b) That this space or room is essential or of major importance to the well-being of the disabled resident because of the nature and extent of their 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 3 below. If for any reason you are unable to obtain such confirmation easily, then do not delay your application. However I may subsequently need to ask for evidence in support of your application.

If you would like more information or advice on how to complete this form please telephone us on: 01983 823901

Please click the NEXT button below to continue to complete the form.

Applicant Details

Person liable for the Council Tax. Please enter below your name and address:

	Title
*	Forename
	Middle name/Initials
*	Surname

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode
	Telephone number (include area code)

Please give your daytime telephone number if you are happy for us to contact you in this way - it may speed up your application

Email address

Disabled Person

	Title
*	Forename
	Middle name/Initials
*	Surname

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode

Grounds for Application

Does the property have:

*

a room which is predominantly used by and required for meeting the needs of the disabled person?

Yes No

*

a second bathroom or kitchen required for meeting the needs of the disabled person?

Yes No

*

a wheelchair used indoors by the disabled person?

Yes No

	Declaration
	Please print this form and fill this section in by hand before returning your form to the address below.

The information given on this form is correct and complete to the best of my knowledge. I undertake to notify you immediately should there be any change to the information given.

Signed ............................................................................... Name................................................................................. Date...................................................................................

If you would like more information or advice on how to complete this form please telephone us on: 01983 823901 Completed applications forms should be returned to: Isle of Wight Council, Council Tax, Council Offices, Sandown, Isle of Wight PO36 9EA Or in person at any of our local offices. We will endeavor to process your application within 15 working days.

	Council Tax Privacy Notice
	The Isle of Wight Council as data controller, will process your personal information contained in this application in accordance with the Data Protection Act 1998. Information may be shared with other departments within the Council for the recovery of any debts owed to the Council and to identify persons responsible for Business Rates and/or Council Tax & bringing empty properties back into use. Please note that the Council may share your information in the absence of consent, for the purpose of crime prevention or detection, in accordance with the law. Please click here to read the full Privacy Notice.

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013