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Council Tax - Severe Mental Impairment Discount Application

We cannot process your form without a signature so you will be e-mailed a copy of your completed form that will need to be printed and signed.  We'll then be able to carry out the medical verification.  It can be returned by post, in person or by e-mailing a scanned copy that includes the signature.

Before applying, find out if you, or the person you're completing this form for, could quality for Severe Mental Impairment Discount.