I will fill in this form correctly to the best of my knowledge. I understand that knowingly providing false or misleading information is fraud, and a criminal offence for which I may be prosecuted.
I also understand that my information may be shared between different Council departments, with central government, and with other partner organisations to coordinate services, verify my identity, prevent fraud and protect public funds in accordance with the law.
The address where you live, not your business address.
Business contact details
Your use of the property
You only need to fill in the following questions if you are also vacating a property in Dacorum for which you pay business rates.