Financial enquiry form

You must complete this form in full. If we do not receive an acceptable offer of repayment, recovery action will proceed without further notice.

If no acceptable offer of payment is received, recovery action will continue without further notice. This may result in deductions being made from your earnings, benefits or Enforcement Agents being instructed to collect the amount outstanding PLUS SET FEES. You will be contacted further about any offer you make

Wyre Forest District Council is under a duty to protect the public funds it administers and to this end may use the information you have provided on this form within this Authority for the prevention and detection of fraud. It may also be share this information with other bodies administering public funds solely for these purposes.

Read our privacy notice

Consent for storing submitted data; ^Required

Yes, I give permission to store and process my data

Council tax reference number; ^Required

Property address; ^Required

Number of adults (18+) living in property; ^Required

Number and ages of children (under 18) living in property; ^Required

Address for correspondence (if different);

Email address; ^Required

Would you like to receive your Council Tax bill by email?

Yes No

First named Council Tax payer

Full name; ^Required

Date of birth; ^Required

Phone number; ^Required

National Insurance number; ^Required

Employer details; ^Required

Joint Council Tax payer (if applicable)

Full name;

Date of birth;

Phone number;

National Insurance number;

Employer details;

Website feedback

Was this page useful? ^Required

Yes No

Consent for storing submitted data; ^Required

Yes, I give permission to store and process my data

Please tell us how we can improve the page;

Your email address;

Please complete;