House and Garage Replacement Rent Payment Card.

This form should only be used for ordering a replacement House or Garage rent payment card (AllPay).

If you became a new Council Tenant within the last 10 days a card will automatically be sent to you.

Name: *
Address: *
Town: *
County: *
Postcode: *
eMail Address *
Telephone Number *
Mobile Number
* indicates required information