Council tax pay by direct debit application form

Use this form to apply to pay your council tax by direct debit. You will need your council tax reference number and details of your bank or building society account.

Before you can set up a direct debit we need to carry out a couple of checks.

If you cannot answer 'Yes' to both of these questions you will need to complete a paper direct debit instruction.

Your title

First name

Last name

Enter your postcode and click on Search to select your address

Contact preference

Mobile number

Home number

Email address

Are you authorised to make debits from this account on your own?

Yes
No

Are you a UK Bank / Building Society account holder?

Yes
No

Because you indicated that either you didn't have a UK bank / building society account or that you were not authorised as a sole signatory for debits you cannot set up a direct debit online. Please download the Direct Debit Instruction Form, print it off, fill it in and return to us. To print out a paper direct debit application form please click here. (Opens a new window).

If you need any help with this, please call customer services on 01768 817817

Please Note

We are committed to protecting your personal data and privacy. We will use the information you supply on this form for the purposes of providing you with Council services. We may share your information within the Council and with our contractors and partners, who help to deliver our services. We will only keep your personal data for as long as necessary for the purpose/s you provided it. For more information on how we protect your personal data, see our Privacy Policy (opens in a new window).

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Your Details Payment Dates Bank Details