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Change of Circumstances

Entries marked with * are mandatory.

You may use this form to inform us about changes in your circumstances.

Your Details

Housing/Council Tax Benefits Reference *

Name *

Address *

Postcode *

Telephone Number *

I wish to notify you of the following changes, details are given below: *

These changes took place on: *

I declare that the information given on this form is correct and complete to the best of my knowledge. I agree that the council may make enquiries in order to check the information given. *

I accept

Data Protection

We will use the information provided by you for the collection of Council tax and/or business rates. The basis under which the Council uses personal data for this purpose is that it is necessary for the compliance with a legal obligation to which the Council is subject to and that this is necessary for the performance of a task carried out in the public interest by the Council or in the exercise of official authority vested in the Council.

The Data Controller is Gedling Borough Council, Civic Centre, Arnot Hill Park, Arnold, Nottingham, NG5 6LU. You can contact the data protection officer at the above address or by email at dataprotectionofficer@gedling.gov.uk

The information provided by you may also be used for the purpose of any other function carried out by the Council. Information about these functions and further information including how long we retain your data, who we share with and your rights can be found ain our privacy notice.