I will fill in the following information correctly and 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 Council departments, with central government and other partner organisations to coordinate services, verify my identity, prevent fraud and protect public funds in accordance with the law.
Details about the property you are registering
Paying your bill
We recommend choosing a 12 month payment option to make budgeting easier and reduce your monthly bills. The total that you pay over the year will be exactly the same under both options.
Details about the adults who are (or will be) living at the property
You must list all adults over 18, including yourself, who are living at the property. If you run out of space, please provide the extra information in the box at the end of this form.
If your name is on a tenancy agreement with your landlord then you are a tenant. Tenants' partners (married, in a civil partnership, or cohabiting) are legally jointly responsible, even if their name is not on a tenancy agreement.
Adult 1 (You)
Single person discount
If you would like to provide more information relating to the single person discount, please use the 'Other information' section at the end of this form.
If there are any more tenants, please give us their details in the 'Other information' section at the end of this form.
Who owns the property?
You do not need to fill in the following questions if you are a tenant of Dacorum Borough Council.
Your previous address
You only need to fill this section in if your previous address was also in Dacorum.
You only need to answer the following three questions if your last address was also rented: