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Apply for Carers Discounts and Disregards
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Carers Discounts and Disregards Application Form
Please complete and submit
Account reference number (If known)
Name:
*
Address of Property (Inc Post Code):
*
Email address:
*
Telephone number:
A person will be disregarded for the purposes of Council Tax on a particular day of he/she is engaged in providing care or support and the prescribed conditions are fulfilled.
Are you a relevant body to provide care or support. If yes complete Section 2 if not complete section 1.
SECTION 1 – CARER
Full name of person being cared for:
Is the carer caring for their husband or wife, or someone with whom they live as husband or wife?
No, the carer is not caring for their husband or wife, or someone with whom they live as husband or wife
Yes, the carer is caring for their husband or wife, or someone with whom they live as husband or wife
Is the carer caring for their child who is under the aged of 18yrs?
No, the carer is not caring for their child who is under the aged of 18yrs
Yes, the carer is caring for their child who is under the aged of 18yrs
Does the carer live in your house?
No, the carer does not live in my house
Yes, the carer does live in my house
Is the person you are providing care for entitled to any of the following?
An attendance allowance
No
Yes
The highest or middle rate of the care component of disability living allowance
No, the person I am caring for is not on the highest or middle rate of disability living allowance
Yes, the person I am caring for is not on the highest or middle rate of disability living allowance
An increase in the rate of disablement pension
No, the person I care for is not in receipt of le the appropriately increased rate of disabled pension
Yes, the person I care for is not in receipt of le the appropriately increased rate of disabled pension
An increase in a constant attendance allowance under the provision to article 14of the personal injuries (civilians) scheme or under article 14(1)(b) of the Naval, Military and Air Forces etc (Disablement and Death) service pensions order 1983
No, the person I care for is not in receipt of an increase in a constant attendance allowance
Yes, the person I care for is in receipt of an increase in a constant attendance allowance
The standard or enhanced rate of the daily living component of personal independence payment
No, the person I care for is not in receipt of the standard or enhanced rate of the daily living component of personal independence payment
Yes, the person I care for is in receipt of the standard or enhanced rate of the daily living component of personal independence payment
If you have answered yes to any of the above please upload your proof of any allowances recieved
Evidence Upload 1
Evidence Upload 2
Evidence Upload 3
How many hours per week on average do you provide care for?
SECTION 2 – CAREWORKER
Please state the name of the person you provide care for:
Please state which organisation employs you to provide care/support:
Please state where you live when providing care/support:
Please state how many hours per week you provide care/support for:
Please state how much remuneration you receive weekly for providing care:
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