Business Rates - Request to Pay by Direct Debit

    If you wish to pay your Business Rates by direct debit, please fill in this form to receive a blank direct debit form through the post.

    You will need to provide the following information so that we can deal with your request:

    1.  Your company's name.
    2.  Your company's address (including postcode).
    3.  Business Rates account reference number (if known).

    Please provide this information in the text box below.

    Privacy & Disclaimer Statements

    The information that you provide today will be processed in accordance with Data Protection legal requirements.

    To find out more about how we process your personal information please read the Revenue and Benefit Services Privacy Notice.

    Further information can also be found within Dudley Council's Corporate Privacy & Disclaimer Statement.

     

    Contact details

    As you are logged in we already have your Contact details. If you wish to change your details then please go to the profile page.

    You have not provided us with a Title.

    You have not provided us with a First Name.

    You have not provided us with a Last Name.

    You have not provided us with a Email Address.

    You have not provided us with a Postcode.

    You have not provided us with a Property number/name.

    You have not provided us with a Street name.

    You have not provided us with a Postal town.

    Please access your profile page and complete the required information.

    The registration process has not yet been completed. You can do this by confirming your email address, which we have recorded as .
    Accessing the Confirm Email page will send you a confirmation email. Follow the instructions within to complete the registration process. Once complete, you can refresh this page to continue your form submission.

    Not registered?

    Registering makes it easier for you to access our services online and saves the time of entering your contact details for each request. In the future you will also be able to track the progress of your reports and find out about local services and information based on your address.

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