Medical certificate form for a Council Tax discount for someone who is severely mentally impaired

About this certificate

Before you apply for a Council Tax discount for someone who is severely mentally impaired, you'll need to download and print this medical certificate.

Ask a registered medical practitioner (this is usually your doctor) to:

• fill it in
• sign it
• stamp it

You'll need to upload the completed form when making your application.

This form may not be suitable for users of assistive technology. Send an email to webcontent@brighton-hove.gov.uk to request an accessible format.