Council Tax Request for Information | FCC

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Council Tax Request for Information

1Your Details 2Enquiry Details

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Your Details

Forename

Surname

Phone Number

Email Address

Address

Recently Used Address

Address

If you are using a screen reader, do not fill in this field If you are using a screen reader, do not fill in this field

Enquiry Details

Please confirm your Employment status

Employed Self-employed Not Employed

Is your Partner employed or self-employed?

Yes No

Please provide the details of the employer referred to above

Name of Employer

Telephone Number of Employer

Address of Employer

Please provide your Payroll OR National Insurance Number

Please state how often you get paid

Weekly Fortnightly Monthly

Please state your earnings after deductions

Are you receiving sick pay from your employer?

Yes No

Do you receive Universal Credit?

Yes No

Do you receive Income Support?

Yes No

Are you the

Claimant Partner to Clamant

Please state your National Insurance Number

What is your Date of Birth

Do you receive any of the following?

Job Seeker's Allowance State Pension Employment Support Allowance Pension Credit Sickness Benefit Private Pension Bereavement Support Payment

If your source of income is not listed, please confirm where your income is from

Your Proposals for Payment

Please outline below your proposals to pay the outstanding Council Tax amount. Your proposals will be considered and a reply will be sent to you to confirm whether or not this is acceptable. You should start making payments immediately.

Household monthly net income including all members of your household

Your own individual net monthly income

Proposed Payment

Frequency

Weekly Monthly 4 Weekly on a Monday Other

Please specify other frequency

Declaration

Your Full Name

Date signed

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Privacy Policy

Privacy Policy

Flintshire County Council will use the information you give in this form, and any supporting evidence you provide to assess your liability for Council Tax. This is required under Local Government Finance Act 1992 and all other relevant regulations associated with the assessment of Council Tax.

We will keep your data for the duration when you are liable to pay Council Tax and for a period of 7 years after your liability to pay Council Tax has ended.

We may share your information with other Council services in order to ensure our records are accurate and up-to-date, to improve the standard of the services we deliver, and to perform any of our statutory duties, including enforcement duties. Flintshire County Council may check information you have provided, or information about you that someone else has provided, with other information we hold. We may also get information about you from certain third parties, or give information to them to:

make sure the information is accurate
prevent or detect crime
the assessment or collection of any tax or duty or of any imposition of a similar nature
protect public funds.

If you feel that Flintshire County Council have mishandled your personal data at any time you can make a complaint to the Information Commissioners Office by visiting their website or by calling their helpline on 0303 123 1113.

For further information about how Flintshire County Council processes personal data and your rights, please see our privacy notice on our website – http://www.flintshire.gov.uk/en/Resident/Contact-Us/Privacy-Notice.aspx