Current Start Preview Complete Information message Filling out this form will email the relevant department Your details Business Rates account number Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Address Customer address First line of Address Second line of Address City/Town Postcode Contact Email Phone number Business details Business name Name Business address Address First line of Address Second line of Address City/Town Postcode Other details Date the property was taken over Name the bill should be in Type of business Make a claim for Small Business Rates Relief Yes No Supporting documents If you need to send us any documents, you can attach them here Attach a document? 15293
