Bolsover District Council

Home Repair Assistance Enquiry Form

The completion of this form does not constitue an application for assistance or guarantee that any financial assistance will be offered

Name *

Address *

Phone number

Do you own the property? * Yes No

Your date of birth *

Are you in receipt of: Income support
Income based job seekers allowance
Housing benefit
Council tax benefit
Working tax credit (Annual income of less than £15,460)
Child tax credit (Annual income of less than £15,460)
Guaranteed pension credit

Brief details of the work required *

All personal information provided to Bolsover District Council will be held and treated in confidence in accordance with the Data protection Act 1998. It will only be used for the purpose for which it was given.

Additional Information

Council Tax
Find Your Councillor
Food Hygiene Ratings
Claim your Housing Benefit
View Planning Applications