Fillable Printable TV Licence - Application for Refund
Fillable Printable TV Licence - Application for Refund
TV Licence - Application for Refund
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Other Licence No.
(See note 2.2 overleaf & where required attach the
requested evidence to this form)
Section 3 – Refund Payment Details:-
Tick the appropriate box and complete the required details in full
Address:
Postcode:
A/c No.
Sort Code:
Name of A/c Holder:
Payable to:
Signed Print Name
Date Daytime Telephone No.
tick
Process any Refund due, directly into the Bank Account shown ->
tick
Forwarding address for future Correspondence and the Cheque Refund (COMPLETE IN FULL – IN ALL CASES)
IMPORTANT – Before completing the information below, read the notes overleaf on “How to Complete this Form”.
Please use BLACK INK and write in CAPITAL letters within the boxes provided.
DECLARATION:-
I declare that the information in this form and any supporting evidence I have provided is valid & correct and that I am authorised
as the Licence Holder or the Executor of a Deceased Licence Holder’s estate to make this Application for a Refund. If TV Licensing
(the BBC and its agents) issue a Refund to me when one is not due, I agree to re-pay the Refund to TV Licensing and indemnify
TV Licensing against any subsequent claims for a Refund in respect of this Licence.
Section 1 – Details of TV Licence to be Refunded:-
Complete this Section in full
Section 2 – Reason for Refund Request:-
Tick the appropriate box below & complete the required details in that Section
Title
Licence Holder:
Licensed Address:
Postcode:
Licence No.
Initials Surname
Expiry Date
(See note 2.1 overleaf & where required attach the
requested evidence to this form)
I did not require my TV Licence -> tick Date from ->
and by signing this form in the box provided below confirm that the Licence will no longer be needed before it expires.
I am covered by another TV Licence tick Date from ->
at the same address ->
PRIVATE & CONFIDENTIAL
2.1
2.2
(See note 2.3 overleaf & where required attach the
requested evidence to this form)
(See note 2.4 overleaf)
I purchased a TV Licence in error -> tick Date of error ->
2.3
2.4
Reason / Comments
tick if evidence is attached
The Licence Holder is deceased -> tick Date of death ->
Process any Refund due by Cheque to the Address below ->
*TVL311/06/08/E/WEB*
TV Licence – Application for Refund
How to complete this form
To enable us to process your application promptly, please fill in all
the relevant sections fully and accurately and attach any required
supporting evidence.
If you are claiming a refund for more than 1 licence, then please
complete a separate form for each licence requiring a refund.
Your application must be submitted within 2 years of the expiry
date of the licence that you wish to be refunded (or, if your claim
relates to more than 1 licence, within 2 years of the expiry date
of the most recently issued licence).
Note, however, that we will normally only issue a refund for a
maximum of 2 years from the date on which your application is
received, so the longer you delay submitting your application, the
less refund you are likely to receive.
Unless we have power of attorney or written authorisation from
the licence holder, the refund will be payable to the licence holder.
IF YOU DO NOT ATTACH REQUESTED EVIDENCE TO
SUPPORT YOUR APPLICATION, WE MAY NOT BE ABLE
TO PROCESS IT OR YOU MAY RECEIVE A LESSER AMOUNT.
SECTION 1 – Details of TV Licence to be refunded
Complete in full, in the boxes provided, the licence holder’s name,
address, postcode, licence number and expiry date – as shown on
the licence requiring the refund.
SECTION 2 – Reason for refund request
2.1 – Licence no longer needed
If you no longer need your licence, please tick the box to confirm
that this is the reason why you are applying for the refund. Insert
the date on which you no longer required your licence from in the
boxes provided. Please note you will not qualify for a refund if you
need this licence again before it expires.
Please provide a brief explanation in the ‘Reason/Comments’ box
AND attach the ORIGINAL LICENCE and A PHOTOCOPY OF ONE
PIECE OF EVIDENCE* to support the date from which you say you
no longer needed the licence from. Examples of acceptable evidence
include: a final utility bill, a tenancy agreement, confirmation of
college terms, a bill of sale or receipt or a solicitor’s letter.
Please DO NOT send originals of evidence, as we are unable to
return them.
If your claim is in respect of a second or a holiday home, state in
the ‘Reasons/Comments’ box the expected date on which a licence
will be needed again at the premises.
A refund may only be issued for complete unused quarters.
2.2 – Covered by another TV Licence
If you are covered by another valid licence at the same premises,
please tick the box to confirm this is why you are applying for the
refund. Insert the date this was effective from and the licence
number of the other licence in the boxes provided.
Please provide a brief explanation in the ‘Reason/Comments’ box
AND attach the ORIGINAL LICENCE and A PHOTOCOPY OF ONE
PIECE OF EVIDENCE* to support the date from which you say you
were covered by the other licence. See 2.1 above for examples of
acceptable evidence. Please DO NOT send originals of evidence as
we are unable to return them.
A refund may only be issued for complete unused quarters.
2.3 – Licence purchased in error
If you purchased a licence in error, please tick the box to confirm
that this is the reason why you are applying for the refund and
insert the date on which the error was made.
As a guide, we will consider refunding licences purchased in error
for the following reasons (note – this list is not exhaustive):
a) Purchased a colour licence, when only required a black and
white licence.
b) Purchased a duplicate licence for the same address in error.
c) Purchased a licence when one was not required.
If you have a full fee licence but believe that you are eligible for
a concessionary licence, please see the help and information on
this page. Any refund that may be due will be calculated through
our concessionary application process, NOT through applying for
a refund using this form.
Please provide a brief explanation in the ‘Reason/Comments’ box
AND attach the ORIGINAL LICENCE and A PHOTOCOPY OF ONE
PIECE OF EVIDENCE* to support the date from which you say the
error was made. Examples of acceptance evidence may be: proof
of payment history where duplicated, or, proof to support the
statement you have made in the ‘Reason/Comments’ box why a
licence was purchased when it was not required. Please DO NOT
send originals of evidence as we are unable to return them.
A refund may only be issued for complete unused months from
when the licence was not required.
2.4 – Licence holder deceased
If the licence holder is deceased, please tick the box to confirm
that this is the reason why the refund is being applied for and
insert the date of death in the boxes provided. Please attach the
ORIGINAL licence to this form.
PLEASE NOTE – only the executor of the deceased
licence holder’s estate is permitted to submit an
application for refund.
If members of the licence holder’s household are still using
a television receiver to receive television programmes at the
premises stated on the licence, the name of the licence holder
should be changed to one of the members and a refund should
not be applied for. A refund will not be given if the licence is
still needed.
If a television receiver was not installed or used at the licensed
premises for a period of time before the death of the licence
holder and you wish to claim for a refund for that period, you must
provide A PHOTOCOPY OF ONE PIECE OF EVIDENCE* to support
this claim. For example, a letter confirming admission into either
a hospital or care home.
A refund may only be issued for complete unused quarters.
*PLEASE NOTE, YOU DO NOT NEED TO PROVIDE EVIDENCE
IF YOUR REFUND IS FOR ONE UNEXPIRED QUARTER
(OR IF A REFUND MAY BE PAID IN RESPECT OF UNUSED
MONTHS, THREE MONTHS OR LESS) OF A CURRENT LICENCE
ONLY. HOWEVER, TV LICENSING RESERVES THE RIGHT TO
REQUEST EVIDENCE IN ALL CIRCUMSTANCES.
Please tick the box in the ‘Reason/Comments’ section if you are
attaching evidence to this form.
SECTION 3 – Refund payment details
We will automatically credit any refund into the bank account you
specify. It is the quickest way of receiving any amount that may
be due to you. If you agree to this, we will send you a letter
advising you of the value and the date it has been processed.
Place a tick in the box to confirm that this is the way you would
like to receive the refund, recording in the boxes provided the sort
code, account number and name of the account holder of the bank
account to be credited.
Alternatively we can refund by cheque.
Place a tick in the box to confirm that this is the way you would
like to receive the refund, ensuring that you record in the boxes
provided, to whom the cheque is to be made payable to.
In ALL cases you MUST complete the address and postcode for
where the cheque and/or future correspondence is to be sent to.
NOTE – we DO NOT process refunds to either debit or
credit cards.
Declaration
Please ensure that you read the declaration prior to signing and
printing your name in the boxes provided. You should also
complete the date and daytime telephone number (in the event of
a query on the application for refund).
IF THIS FORM IS NOT SIGNED IT CANNOT BE PROCESSED
– IN SUCH CIRCUMSTANCES WE WILL ISSUE A NEW FORM
TO YOU.
Help and information
If you require assistance with the completion of this form, or,
believe you are entitled to a refund for any other reason, please
call our Helpline on 0300 790 6071.
If you need a concessionary licence for a blind person, if you are
over 75 years of age, if you have moved into residential care
accommodation or if you are a hotel, please call our Helpline on
0300 790 6071 for further details on how to apply.
If you have sight problems, you can get this
information by email or in Braille, large print
or audio by calling 0300 790 6076. Also, a
Minicom facility for the deaf or hard of
hearing is available on 0300 790 6050.
Data protection statement
Your information will only be used by TV Licensing (the BBC
and its agents) to administer the TV Licence system. We will not
supply it to anyone outside of TV Licensing without first obtaining
your consent, unless we are obliged or permitted by law to do so.
For more information, go to www.tvlicensing.co.uk/privacypolicy.
TVL311/04/10/E/WEB
