Better Broadband Subsidy Reimbursement Form

Better Broadband Subsidy Reimbursement Form

This form is used for securely taking your bank account details so that we can payout your Better Broadband Subsidy. Requesting this information via email is not sufficiently secure. We need these details because it is not possible for us to send money back to you via your direct debit mandate. Please make sure that you are accessing this page using HTTPS (you should see a padlock symbol in the address bar). Once your payment has been processed, these details will be removed from our systems. Thank you.

Your Contact Details

Without spaces

Subsidy Information

£

Bank Details

e.g. 400832