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Covid Additional Relief Fund Refund Request

Entries marked with * are mandatory.

Ratepayer Details

Non-Domestic rating account number *

Ratepayer Name *

Telephone Number *

Email Address *

Bank Details

Please provide us with the details of the bank account you wish your Covid Additional Relief to be paid in to

Sort Code (e.g. 12-34-56) *

Account Number *

Name as it appears on your nominated bank account (e.g. Mr J Smith) *

Relief Refund Confirmation

I confirm that I wish to request my Covid Additional Relief be refunded to my nominated bank account rather than using the credit to reduce an existing account balance. *

I confirm

Data Protection

The Council is regulated by the General Data Protection Regulations 2018 and will manage the personal information collected on this form for the purpose of delivering its services to you. Your information may be shared internally and with external partners for these purposes only and will not be shared with any other organisations unless required by law or for the purposes of the prevention and detection of crime and/or fraud. We may contact you using the details you provide, in connection with this form and the information you supply. Your personal information will only be retained for as long as necessary and you may request a copy of the information we hold about you

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 in our privacy notice.