The information provided on this form will be used by the Council's Corporate Debt Team to assess realistic individual payment plans to discharge your liabilities which are owed to the Council. Record all debts owed to the Council and ensure that all income and expenses are included.

Use the form to:

• Make an offer of repayment of Council Tax arrears.
• Request a reduction in the amount taken from your ongoing benefit to repay an overpayment.
• Make an offer or repayment of a benefit overpayment when your benefit has ceased.

If you have a low income and less than £16,000 in savings, you may qualify for help with your Council Tax or Rent. You can apply online using the following link apply online .

The Citizens Advice Bureau offers a free specialist debt advice service.

Your income

Please ensure that all income are included for all members of your household. It is important that you do not miss anything out. You may be asked to provide proof of some items.

Your expenses

Please ensure that all expenses are included for all members of your household. It is important that you do not miss anything out. You may be asked to provide proof of some items.

Confirmation of income and expenses

You have not entered any income amounts - please enter your income if you wish to proceed

You have not entered any expenses amounts - please enter any expenses if applicable

Please check the amount you have entered are all valid numbers (123.45) with no spaces or £ signs

About debts you owe the Council

It is important that you include all debts.

About your household

Your employer's details
Your partner's employer's details

Warning:
Failure to make any payments to your debts may result in further recovery action which could include:
* Referral to Bailiffs
* Attachment of Earnings
* Attachment of Benefit

Your contact details


Declaration

I / we declare that the information provided on this form is correct and complete.

I / we undertake to notify the Council promptly of all changes of circumstances which might affect benefit payments after this form has been signed. I / we understand that if incorrect information is supplied or fail to notify the Council of a change in circumstances, action including prosecution may be taken against me, and Torbay Council will seek to recover any overpayments. I /we authorise the Council to make necessary enquiries to verify the information on this form, this may include an interview or home visit.

Before you confirm your, details you should be aware that supplying false information is fraud. If you give information that you know to be false you can be prosecuted. Any information you provide may be verified and investigations may be carried out.
* If someone else helped to complete the form for me I have read all of the details or they have been read back to me.

Data Protection

The information you have provided on this form will be used to deal with your request by the relevant department. We may pass your details on to contracted third party service providers. We will store a copy of your completed request as a backup for 12 months.

If you would like to know more about how we use your information and how you can exercise your information rights please see our privacy notice.

Text to advise what happens next..