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Apply for an exception from a premium charge

Read the guidance notes before you complete this form.

You must complete all parts of the form. If you don't, it will delay your application.

You may need to provide evidence, and we may also send an inspector to visit your property.

By selecting 'Submit' at the end of the form you are signing this agreement electronically. Your electronic signature is legally equivalent to your manual signature. By selecting 'Submit', you agree to be legally bound by the terms and conditions of this agreement.

Tell the council immediately about any changes in your circumstances.