solihull.gov.uk

Financial Inclusion Enquiry Form

* What do you need help with

For general enquiries, please explain why you need help

Your details

* Title

* First name

* Surname

* Email address

* Address

Postcode

Your reference number

This will be the reference number starting with DG if you have made an application for food, fuel, household items or a Discretionary Housing Payment.

Or the reference number starting CTR if you have made an application for Discretionary Council Tax Reduction.

* Your application reference number (8 or 9 digits)

Your enquiry

* Please give full details of your enquiry

Declaration

I declare, to the best of my knowledge, that the information I have given is true and correct. I understand it is a criminal offence to supply false information to obtain a monetary advantage and Solihull Council will prosecute fraudulent claims.

Yes, I understand and agree to the declaration

Data Protection

Your information may be shared with other council services and partner organisations to ensure our records are kept accurate and to help us to identify services or benefits you may be entitled to or interested in. We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires. For further information about how we use your information please refer to the Council’s Privacy Statement on www.solihull.gov.uk.