Make a rent contribution payment

Rent contributions for Temporary Accommodation
Please only use this form for payment if you have an occupational agreement with Breckland Housing
Fields marked with * are required
Details
1. Name*
4. Please provide the temporary accommodation address this payment relates to*
5. Do you have an email?*
  
  Yes
  
  No
6. Email
7. Contact number*
8. Ref no*
  This will start with 2589422 and will be found on your barcode letter
Privacy statement

Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.

In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.

The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.

More detailed information about the Council's handling of your personal data can be found in our privacy policy.
Payment
1. Name of payer*
4. Payment amount (00.00)*

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