Allotment Contact Details Form

Tenant's first name*

Tenant's last name*

Plot number*

Site name*

Tenant ID number (TID)

Tenant Debtor number beginning with WD

Tenant contact number*

Tenant address*

Tenant email address*

Date of Birth*

Please use date format dd/mm/yyyy, or pick from the date picker

Registered disabled?*

Yes

Other languages spoken?*

(We may be able to provide documents in another language if needed)

Please note that the information on this form will shared to your site representative for their records as, at times, they may need to contact you. If you have an accident on site, they may also need to contact your next of kin so do please include an emergency contact:

Emergency Contact Name*

Emergency Contact Number*

Your email address is important to keep you informed of things going on, such as minutes of meetings, newsletters etc. It may also be used to send your annual invoice. If you do not wish your email address to be used for these purposes, please tick the boxes below.

Do you wish your email address to be used for these purposes? (Please check to agree)
Events or marketing
invoicing

Worcester City Council will hold and process my information in accordance with Data Protection Law. For more information, please see our privacy notices on our website.

I acknowledge that Worcester City Council will hold and process my information in accordance with Data Protection Law.*
I acknowledge

Date*