Household Flood Claim Form

Section 1 - Your details
This part asks for information about you 'the applicant'
Your Details
1. Name
  1. Title (Required)*
  2. First name (Required)*
  3. Last name (Required)*
2. Please provide below the address that was affected by the floods.
  1. Address lookup (Required)
    
    Postcode*
    
    Address
  2. Address
3. Contact details
  1. Email (Required)*
  2. Phone number (Required)*
  3. Mobile (Required)*
Is your correspondence address different to the address of the house (Required)*
1. Yes
2. No
Correspondence Address
1. pcc.floodingclaim.addresslayout
  1. Address lookup (Required)
    
    Postcode
    
    Address
    
    Enter your post code to find your address.
  2. Postal address
Do you pay business rates for this property (Required)*
1. Yes
2. No
Are you a charity or a not for profit organisation? (Required)
1. Yes
2. No
BUSRATESNULAYOUT
1. Please provide your business rates reference number (Required)
I am afraid you are not eligible for this scheme. Business Wales are providing support for businesses.
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Are you liable for Council Tax on this property in Powys? (Required)
1. Yes
2. No
We are only to accept the claim from the Council Tax Payer. Please ask them to submit the application

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CTAXDETAILSLAYOUT
1. Please provide your Council Tax Reference Number
2. Please provide all the liable parties names who pay Council Tax at the address.
WIZLAYOUT

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