CT SMI Disc

Application for a discount when someone is severely mentally impaired
Overall form progress: 100% Complete
  1. If more than one person is severely mentally impaired, please fill in one form for each person. For information on eligibility, please see council tax discounts and exemptions.

    Please note, you will need your council tax reference number to complete the request and we may contact you to provide proof to support your application. If you need to provide proof, this can be done at any of our Access Points or by sending the original documents to our office.

    All fields marked * are mandatory. All other fields are optional. Information you provide will be used to verify your application for discount. Providing optional information such as telephone number, will assist the council in verifying the details you provide and speed up the discount application process.

    On completion of your request you will be sent a receipt to the email address you provide.
  2. Details of the person responsible for paying the Council Tax
  3. The information you supply will only be used to process your request. Information will be passed to third parties where they are providing a service on behalf of Bolton Council or if we are required to do so by law. Find out more privacy notice.
  4. If you are applying on someone else's behalf, please complete your details.
  5. Qualifying benefits In order to support the application, please show which of these benefits (if any) the severely mentally impaired person receives by entering the date they started. Please note we will need to see proof of benefit entitlement before a discount can be awarded.

    If they are of pensionable age they do not need to be entitled to any of the following benefits, but we will need proof of date of birth.
  6. We may be able to backdate the discount, depending on the date the benefit started.
  7. Doctor information The law says we must get a doctor's certificate to prove severe mental impairment. We will contact the doctor direct.
  8. If you do not wish to confirm this, please exit out of the form and we will not progress your application.
  9. If Yes, we will automatically send your future bills to the email address that you have provided at the beginning of this form.
  10. Declaration
  11. If you would like to send us supporting evidence, please email it to CTaxTenancies@bolton.gov.uk.
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