Small business rate relief application form

Ratepayer details

Rate payers name

Trading as name, if different to Rate payers name:

Type of business:

Limited company

Sole Trader

Partnership

Home / Registered office address:

Telephone number

Email address

Please confirm if we can use this email address for e-billing

Yes

Business Rates account number

Please select one of the following

Application / renewal

Change of circumstances

Application / renewal

The address for which Small Business Rate Relief is being sought

Date of tenancy / ownership:

Date stock / equipment was placed in the business

Are the premises use for business or personal use?

Business use

Personal use

What is the primary use of the premises?

Any other business property in England the rate payer occupies

Valuation period for which relief is sought

Name of the ratepayer or person authorised to act on behalf of the rate payer

Capacity of the person completing this form (e.g. sole trader / partner / director)

Date

Change of circumstances

The business address in England which the rate payer has started to occupy since making their first application for the valuation period

The date on which the rate payer started to occupy that property

Rate payer or person authorised to sign on behalf of the rate payer

Capacity of person signing

Data consent and spam protection

Consent for storing submitted data

Yes, I give permission to store and process my data

Spam protection

Contact details

Page last updated 10 September 2025