Your Details

Your Current Address

Address details not found for the entered Postcode. Please click on the ‘Enter Address’ button below, and complete the additional address fields that are then displayed, if you are no longer a DBC resident.

Your Claim – Former Tenancy details

It is important that you add any former details below to assist us with your claim

If you are having trouble remembering the postcode, please check on the Royal Mail Postcode Finder

Address details not found.

Your Bank Details

Please provide the following details of the bank account you wish the payment to go into:

Please upload a copy of a bank statement for the account referenced above.


I confirm that the information that I have provided above is true and accurate.
All refunds are transferred electronically into your nominated bank account (using the BACS system).
We do not make refunds in cash or by cheque.

Please Note: Your account balances will be checked before we make any refund. If you have any other outstanding debt for a Dacorum Borough Council Service then all or part of your credit may be used to clear the amount you owe.
All details on this form will be held securely and will not be shared.

Do you agree to the above declaration?