Arrangement request

Your details

First name

Middle name

Last name

Address

Contact number

Email address

Council tax account number

Payment within 7 days

Have you made a payment or are you intending to make a payment in the next 7 days?

YesNo

Amount

Date of payment

Arrangement offer

The arrears need to be paid in full by the 31st March. Any arrangement offered needs to clear the full balance by this date

How often do you want to pay?

FortnightlyMonthlyWeekly

How much do you want to pay?

Change payment date

Do you want to change the payment date of your monthly instalments?

YesNo

Preferred date

Additional information

Information about your financial circumstances which may effect your ability to pay

Declaration

If your arrangement is accepted you will be sent a revised bill, letter or email to confirm acceptance of your arrangement within the next 28 days. If your arrangement is not accepted a member of the team will contact you to discuss your account.

If you are due to make a payment before you have been contacted, please make the payment you have offered.

Name

Date

We will the the information you give in this form and any supporting evidence you send us, to process applications for Second Adult Rebate claim/change of circumstances, Council Tax Reduction or to determine Council Tax Liability. We may pass the information to other agencies or organisations such as the Department for Work and Pensions, the Jobcentre Plus and HM Revenue and Customs, as allowed by the law. By law, we may check the information you have provided, or information provided about you by someone else, against other information we already have. We may also ask other agencies, organisations, local authorities or government departments to give us information they have about you. This is to make sure the information is accurate, 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. Folkestone & Hythe District Council is the data controller for the purposes of the Data Protection Act 1998.