I declare that my circumstances and the information provided below are, to the best of my knowledge, true and accurate. I understand that supplying false information will result in the discount being removed. In addition, if my circumstances change I will immediately notify Dacorum Borough Council. I understand that it is a criminal offence for a ratepayer to give false information when making an application for small business rate relief. I understand that the information I provide will be used in accordance with the law to protect public funds.
You only need to fill in the section below if you are liable for business rates at another property in England.
Please include the full address, business rates reference number and current rateable value.