Apply for Disabled Persons Allowance (DPA)

Please use this form to apply for Disabled Persons Allowance (DPA). LPS will then arrange to post you an Application form to sign and return.

Alternatively you can download a DPA application form (opens in new window - PDF 112 KB) which you can then print, complete and return to your Local LPS (Rating) Office.

Please do not complete this online request form if you have also printed and returned the application form above.

Fields marked * are required to be completed.

Your Details

* Name:

Ratepayer Number:

Property number:

* Email Address:

* Your Address:

Your Comments

Additional Comments:

* Your Regional Office

Your Local LPS Office:

Your attention is drawn to the fact that any information provided over the internet is not secure and that by completing this form that you are aware of the risks.

The information you provide on this form is subject to the provisions of the Data Protection Act 1998. It may be used for Rates and Housing Benefit/Rate Relief purposes and for performing other statutory Enforcement duties.

More information on the Data Protection Act can be obtained from the Information Commissioners Website (external link) .

If you require help or further information, please contact your local Land and Property Services (Rating) Office.