Refusal of the 2022/23 Retail, Hospitality and Leisure Relief Scheme form

Consent for storing submitted data; ^Required

Yes, I give permission to store and process my data

Name of premises; ^Required

Address of premises; ^Required

Non-domestic rates account number; ^Required

Amount of retail, hospitality and leisure support received?; ^Required

I confirm that I wish to refuse the 2022/23 Retail, Hospitality and Leisure Relief Scheme in relation to the above premises.; ^Required

I confirm that I am authorised to sign on behalf of; ^Required

Name; ^Required

Position; ^Required

Business; ^Required

Address including postcode; ^Required

Date; ^Required

Website feedback

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