Make an arrangement to pay your business rates 1Using the form2Declaration3About the business4Your arrangement5Other information and supporting documents Use this form if you owe business rates and you are unable to pay. You can also check if you’re eligible for rate relief which will reduce your bill. If you have received an Enforcement Agent letter you need to speak to them directly, contact details can be found on the letter. This form will ask you to provide your name and position within the organisation your business rates account reference name of the ratepayer the business address and contact details your plan to clear the outstanding amount. This form must be completed by the ratepayer or someone authorised to do so on their behalf. Please have this information ready as pages time-out after one hour. Do not use your browser back button – if you need to go to a previous page click on the previous button at the bottom of each page. Privacy Statement Dover District Council is a Data Controller under GDPR. In submitting this form we will collect and process your personal data. For information about your rights and how the Council uses your data, please view our Corporate and relevant service privacy notice which can be found on our Privacy page. DeclarationPlease check the box below to confirm that you have read, understand and agree to the following statements before completing this form: I confirm the information that I will give on this form will be correct and true. I will notify you of any relevant changes within 21 days of the change. I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me. I understand my data may be shared with other departments as permitted by law. I confirm I am the ratepayer or someone authorised to accept this declaration on the ratepayer's behalf. Declaration(Required) I understand and accept the above declarationYour name(Required)Position in the company or organisation(Required)For example secretary, treasurer About the businessBusiness rates account reference(Required)You can find this on your business rates billBusiness nameRatepayer's full name(Required)Contact phone number(Required)Business website address (if applicable)Business email address(Required) Enter email address Confirm email address Would you like to receive your business rates bills by email?(Required)You can receive your business rates bills by email rather than post. We will send all future business rates bills to the email address you have given above. If you change your email address you must let us know straight away. You can opt out of this at any time at dover.gov.uk/paperlessrates Yes No Address of the property for which you are applyingProperty address(Required) Address line 1 Address line 2 Town or city Postcode Your arrangementWhen working out an instalment plan it is our policy to clear all arrears by the end of the financial year (31 March). If we agree a payment arrangement with you and you don’t keep to it, we will take further action to recover the business rates you owe. We will contact you to confirm whether your arrangement is acceptable and to confirm your instalments. Please make the first payment now to start to reduce your outstanding balance.Which recovery notice have you received?(Required)If you have received a business rates summons, your arrangement must include the summons costs and liability order costs as confirmed on your summons Final notice Pre-enforcement letter Reminder Summons I wish to make an offer of payment to clear the outstanding amount I owe of(Required)by paying(Required)every(Required) Week Fortnight Month Other information and supporting documentsPlease use this box to tell us any other information.If you have no further information to give us, leave the box blankUpload documents to support your arrangement request, for example leases or trading accountsIf you are uploading photographs of documents, please make sure you take a photo of every relevant page, that they are clear and that any words or figures can be easily read. Drop files here or Select files Accepted file types: txt, pdf, doc, docx, rtf, jpg, jpeg, tif, tiff, bmp, png, xls, xlsx, Max. file size: 16 MB, Max. files: 8.