Council Tax Discount for Relative or Unpaid Carer Form

If you are resident in the property and provide care for a person with a disability who is receiving certain allowances or disability pensions please complete our Council Tax Discount for Relative or Unpaid Carer form.

If you are unable to use this form, please see our Contact Us (this link opens in a new window) for ways of getting in touch

Red asterisk denotes a required answer.

Contact Details of liable person

Name
Address
Name of Person to be disregarded

Name of Person to be disregarded

Carer

I confirm that the above named person should be disregarded due to providing care to a person, on the basis; 1) Providing care to a person who is in receipt of one of the following:-
  • 1a) An attendance allowance under section 65 of the Social Security Contributions and Benefits Act 1992(2)
  • 1b) The highest or middle rate of the care component of disability living allowance under section 72(4)(a) of that Act
  • 1c) An increase in constant attendance allowance under the proviso to article 14 of the Personal Injuries (Civilians) Scheme 1983(3), or under article 14(1)(b) of the Naval, Military and Air Forces etc. (Disablement and Death) Service Pensions Order 1983(4), or
  • 1d) An increase in the rate of Disablement Pension under section 104 of that Act, or
  • 1e) The standard or enhanced rate of the Daily Living Component of personal independence payment under section 78(3) of the Welfare Reform Act 2012

And is the following:-
  • 2)  Resident in the same dwelling as the person to whom they are providing care
  • 3) Providing care for at least 35 hours a week on average
  • 4) The person to whom they are providing care is over 18 years old and is not the spouse or partner of the carer, or they are providing care to a child under the age of 18 years and they are not the parent of this child.

Declaration

Name & Relationship of Person completing the form

WARNING - It is a criminal offence for a ratepayer to give false information when making an application related to Council Tax or Business Rates

I confirm that all the details above are correct and I will contact the Council immediately of any changes

I will inform the Council as soon as there is any change in my circumstances which could affect my Council Tax Discount. If I fail to do so, I may be liable to a £70 penalty.

For the purposes of current data protection laws the information you supply the Council as part of your application will be used for the purposes of dealing with your request and retained as per our published corporate data protection privacy policy which can be found on the East Herts District Council Data Protection page (this link opens in a new window).

From time to time this information may be shared with other Council departments and / or outside partners to process your request as effectively as possible. Please confirm you have read the above privacy notice