1About you 2Enquiry 3Summary Progress About you Details of the person making this enquiry I am The account holder Acting on behalf of the account holder Details of the appointee acting on behalf of the account holder You are only authorised to act on behalf of the account holder if you are one of the people listed below. We will check our records to make sure you are authorised. Select which one applies to you I am authorised by the account holder I have Power of Attorney I am authorised by the Court of Protection I am an appointee of the Department for Work and Pensions I represent a care home or homecare agency First name Last name Address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Email Telephone Account holder details First name Last name Address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Date of birth Social charging account number The account number starts with an A followed by 4 to 10 digits (e.g. A1234, A1234567890) and can be found on your statement. Email Telephone No information is required, please proceed to the next page. Enquiry Details of enquiry What is your enquiry about? Charges and payments Update an account Refund request New payment card New standing order form Help to complete the financial assessment form Provide details of your enquiry Please note, any payments made after your current statement issue date will appear on your next statement. Reason for updating the account Account holder's care package has changed Account holder has died Update contact details Please provide further details Tell us why you think you are owed a refund? If a refund is due, it will be paid via a bank transfer to the bank account you choose. Please enter your bank details accurately below ensuring the information you provide mirrors the information held for your bank account. Name of bank or building society Address of bank or building society Account holder's name Account number Sort code Tick to confirm that you understand that you are liable for any payment made to you and agree that Liverpool City Council may invoice you if any error has been made in paying a refund to you. I understand the above Reason for new payment card Do you want us to: Email the form Post the form Enter email address Enter postal address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Tell us what support you need No information is required, please proceed to the next page. Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page Loading form summary...