Current Start Preview Complete Information message Filling out this form will email the relevant department Your details Business Rates account number Name of person completing the form Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Contact 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 at this address Property details Type of property e.g. shop, office, warehouse etc Date this property will be occupied (Please note refurbishment work does not count as occupation for business rates) 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 If you have previously not told us about occupying this property and do not yet have an account, please confirm if you are a new: Owner Tenant Licensee Other… Enter other… Please upload a copy of the lease/license agreement One file only.64 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. 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