Notes for filling in the claim form
About this form
This Council Tax Support claim form has been specially designed to be easy to fill in. It is long,
but we have to ask a lot of questions to make sure that everyone who claims gets the right amount of
reduction. You may not have to fill in all parts of the form, but you must fill in any part that is relevant to you.
Every part starts with a question to help you decide if you need to fill in that part.
Second Adult Rebate
Second Adult Rebate is Council Tax Support you can get if you are a pensioner, share your home with
someone who is not your partner, is on a low income, is 18 or over, and does not pay you rent.
If you are claiming Second Adult Rebate, only fill in Parts 1, 3, 12, 13 and 14.
We need to see evidence of some of the things you tell us about. The checklist at the end of the form will
help you. If you are not sure if we need to see evidence of something, get in touch with us. We will tell you
what we need to see. We cannot award your reduction until we have seen the evidence we have asked for.
How we collect and use information
We will use the information you give in this form, and in any supporting evidence you send us, to process
your claim for Council Tax Support.
We may pass the information to other agencies or organisations such as the Department for Work and
Pensions and HM Revenue and Customs, as allowed by law. We 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 them information, to:
• make sure the information is accurate; and
• prevent or detect crime; and
• protect public funds.
These third parties include government departments, local authorities and private-sector companies such as
banks and organisations that may lend you money.
We will not give information about you to anyone else, or use information about you for other purposes,
unless the law allows us to.
The Council is the data controller for the purposes of General Data Protection Regulations/ UK Data Protection
Bill. If you want to know more about what information we have about you, or the way we use it, please visit
Changes you must tell us about Tell the Council's Benefit Department straight away if;
• any of your children leave school or leave home; or
• anyone moves in or out of your home (including lodgers, joint tenants and subtenants); or
• your income or the income of anyone living with you, including benefits, changes; or
• your capital, savings or investments change; or
• you or anyone living with you becomes a student; goes on a Youth Training Scheme; goes into hospital or a
nursing home; goes into prison; or gets, changes or leaves a job; or
• you or your partner are going to be away from home for more than a month; or
• you receive any decision from the Home Office; or
• anything you have told us about changes; or
• you move house; or
• you or any one in your household receives or ceases to receive DLA or PIP.
If you don’t tell us about these changes, you may lose a reduction you are entitled to or you may receive too
much reduction and have to pay the Council Tax back.
You must make sure that you tell us about these changes. Don’t rely on someone else to pass on the message.
It is an offence not to tell us about any change of circumstance that affects your award. We may take
court action against you. If we pay you too much support, in most cases, you will have to pay it back.