Please complete this application as fully as possible. If you may qualify for a discount it will be passed to our Inspector's department who will contact you to arrange an inspection.

The Council Tax section will need to be satisfied that there is a resident with a disability who needs either; space for a wheelchair to be used inside the home, or a special or additional kitchen, bathroom, or other room. They will also need to be satisfied that this space or room is essential, or of major importance, to the well being of the resident with a disability because of the nature and extent of their disability.

Please note that if you navigate away from this form the information will not be saved and you will have to start again.

This form usually takes about 5 minutes to complete. Please note that after 60 minutes of inactivity the form will time out and any information you have entered will be lost.