Apply for Severe Mental Impairment Reduction

Personal details

Applicant (person liable for Council Tax). ​​​​​​​

Choose an Option

Please enter a postcode/house number or name, and then search for an address.

Choose an Option
Please enter a postcode/house number or name, and then search for an address
Are you already registered for Council Tax?

Applicant further details

Doctor's declaration

Please fill in as much information as you can. When you have submitted and printed the form you will need to take it to the GP for checking and signature.

For the purposes of the Local Government Finance Act 1992, a person is severely mentally impaired if he/she has a severe impairment of intelligence and social functioning (however caused) which appears to be permanent. The person who it is claimed is severely mentally impaired will hereafter be called 'the applicant'

The applicant is severely mentally impaired

Form about to be sent

Before submitting, please read the information below.

This form will be sent for information purposes only. Camden will not action your request until they receive your signed form.

Once you have pressed submit you will receive a confirmation email that you can print and have signed.

Please send the signed form back to Camden.

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