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 SIC code (if known) Business address Address First line of Address Second line of Address City/Town Postcode Other business details Type of business Date your business started trading from Property details Type of property e.g. shop, office, warehouse etc Date this property will be occupied Current rateable value of property £ Must be under £15,000 to qualify. If unknown, please leave blank. Status of ratepayer Sole proprietor Partnership Limited company Date from which the ratepayer is making the claim Limited Company registration details Registration number Registration address First line of Address Second line of Address City/Town Postcode Other properties Are you liable for any other occupied, non-domestic premises in England? Yes No Other property details Addresses and rateable values of each property Section 43 (4D) of the Local Government Finance Act 198 makes it a criminal offence for a ratepayer to give false information when making a claim for a small business rate relief 15294