Dispute Form

Your name
1. First Name
2. Last Name
Your address
1. Address
  1. Address lookup
    
    Postcode
    
    Address
    
    Enter your post code to find your address.
  2. House name/number
  3. Street
  4. Town
  5. Postcode
2. Your contact details
  1. Email
  2. Telephone
What is the debt relating to?
1. Council Tax
2. Business Rates
3. Overpayment of Housing Benefit
4. Other
1. Which service area is the debt relating to?
1. Reference number
2. Amount
3. Please tell us what you are disputing about?
Declaration
1. Your declaration
  
  I understand the following:
  
  You will use the information I have provided to process my request / report.
  
  You may check some of the information with other sources within the council or other councils and government departments.
  
  You may also get information about me from certain other organisations, or give information about me to them to: make sure the information is accurate; prevent or detect crime; and protect public funds. These other organisations include government departments and other local authorities
2. I understand the statement above and I declare that the information I have given on this form is correct and complete.

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