Forms home Local Restrictions Support Grant Application Form 1 Introduction2 Business Rates Liability3 Details of business Government financial support for business As Covid-19 restrictions remain in place for 16 February 2021 to 31 March 2021, the Government has provided funding for grant payments to support business in the Hospitality, Leisure, Bed and Breakfast and Hotel sector. Rateable value Grant award every 14 days, calculated pro-rata Up to and equal to £15,000 £2,096 Greater than £15,000 and less than £51,000 £3,143 Greater than or equal to £51,000 £4,714 General eligibility criteria Your business must have been registered for business rates liability with Redbridge on the first full day to which the specific restrictions apply Your business was open for trading immediately prior to the national lockdown arrangements For grants supporting businesses that remain open and are affected by the socialising restrictions, that your business provides services “in person” to customers at its premises Your business was required to close under the national lockdown arrangements Your business is in the hospitality, hotel, bed & breakfast or leisure sector, is actively trading and has been impacted by the socialising restrictions imposed The award of the grant together with other funds received will not exceed Subsidy Control (State Aid) Your business is not in administration, insolvent or subject to a striking off notice Businesses will be required to confirm that all these criteria apply when making an application. Action will be taken should an application be found to be deliberately false and/or fraudulent.I confirm that I understand there is a high demand for these grants and that if I do not complete the application with all the evidence listed below then my application will be deemed invalid.(Required)YesNoYou cannot continue with your application Before you start your application you will need: your business rates account number (from your bill) a recent copy of your bank statement. Is your property liable for business rates?(Required)YesNoYou cannot continue with your application Business Rates account number(Required)Name of liable party (as appears on bill)(Required)Name of person completing form(Required)Designation of person completing the form(Required)Contact number (landline and mobile)(Required)LandlineMobileEmail address WebsiteAddress of property (as appears on bill)(Required)Find addressSelected address I am unable to find address I am unable to find address using the above search option Address(Required) Street Address Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Is your contact address different from above?(Required)YesNoContact address(Required) Street Address Address Line 2 City AberdeenshireAngus/ForfarshireArgyllshireAyrshireBanffshireBedfordshireBerkshireBerwickshireBlaenau GwentBridgendBuckinghamshireButeshireCaerphillyCaithnessCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCromartyshireCumberlandDenbighshireDerbyshireDevonDorsetDumfriesshireDunbartonshire/DumbartonshireDurhamEast Lothian/HaddingtonshireEssexFifeFlintshireGloucestershireGwyneddHampshireHerefordshireHertfordshireHuntingdonshireInverness-shireIsle of AngleseyKentKincardineshireKinross-shireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireLondonMerthyr TydfilMiddlesexMidlothian/EdinburghshireMonmouthshireMorayshireNairnshireNeath Port TalbotNewportNorfolkNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeeblesshirePembrokeshirePerthshirePowysRenfrewshireRhondda Cynon TaffRoss-shireRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetStaffordshireStirlingshireSuffolkSurreySussexSutherlandSwanseaTorfaenVale of GlamorganWarwickshireWest Lothian/LinlithgowshireWestmorlandWigtownshireWiltshireWorcestershireWrexhamYorkshire County Postcode Is your business registered at Company House?(Required)YesNoN/APlease enter your company registration number(Required)Is your organisation registered with the Charity Commission?(Required)YesNoN/APlease enter your Charity registration number(Required)Do you have a VAT number?(Required)YesNoN/APlease enter your VAT number(Required)Do you have a self-assessment/partnership number?(Required)YesNoN/APlease enter your self-assessment/partnership number(Required)If you are a sole trader, do you have a National Insurance number?(Required)YesNoN/APlease enter your National Insurance number(Required)Rateable value(Required)Below is the definition of the size of the local business the grant relates to for the purposes of monitoring and evaluation. Please indicate whether your business is micro, small, medium, large, according to number of employees.(Required)Micro – 0 - 9Small – 10 - 49Medium – 50 - 249Large – More than 250State which sector is your business(Required)Please selectAgricultureMining and QuarryingManufacturingEnergyWater SupplyConstructionWholesale and RetailTransport and StorageHotels and CateringITFinance and InsuranceReal EstateProfessional, scientific & technicalAdmin. ServicesPublic ServicesRecreation and CultureOther ServicesPlease specify service(Required)Has your business been ordered to close due to national restrictions from 5 January 2021 (Closed businesses that are offering Click and Collect services as an adaptation from the principal business should answer yes)?(Required)YesNo / not applicableNote: applicable to non-essential retail, leisure, personal care, sports facilities and hospitality businesses. Businesses that are able to conduct their main service because they do not depend on providing direct in-person services from premises and can operate their services effectively remotely, are excluded.Was your business mandated to close by the 15th February 2021?(Required)YesNo / not applicableNote: applicable to non-essential retail, leisure, personal care, sports facilities and hospitality businesses.From what date?(Required)Please confirm which of the following applies(Required)Hospitality, Leisure, AccommodationEssential RetailNon-essential retailTo support your claim please can you provide the nature of your business i.e, restaurants, bars, hotels.(Required)Please describe how it has been severely affected. Please write in your own words and evidence might be required, i.e, reduction in turnover, footfall etc.(Required)Bank detailsIn this section please supply your bank account details.Bank sort code(Required)Bank account number(Required)Bank account name (as appears on the statement)(Required)Please upload a copy of your bank statement for payment of the grant(Required)Did you receive a grant under the previous grant scheme?(Required)YesNoDeclarationInformation may be shared with other departments at the London Borough of Redbridge. It may also be shared with other agencies, in accordance with prevailing Data Protection statute for the detection and prevention of fraud and crime. The Department for Business Energy and Industrial Strategy will be given access to this data, will store it securely and process it for monitoring and evaluation purposes only. This includes, but is not limited to, follow up evaluation surveys relating to the business support grant schemes. We will also use the information for the purpose of performing any of our statutory enforcement duties. Make any disclosures required by law and may also share this information with other bodies responsible for detecting/preventing fraud or auditing/ administering public funds. We may share the details with other organisations that handle public funds and assist in the processing of other benefits.Confirmation(Required) I confirm that I have read the above declaration and that the information I have provided is correct to the best of my knowledge Subsidy Control (State Aid) Declaration Following the outbreak of the Coronavirus, the European Commission has approved schemes to aid businesses affected by the Coronavirus outbreak on the basis 17 of their Temporary Framework, including the COVID-19 Temporary Framework scheme for the UK. The maximum level of aid that a company may receive is €800 000 (€120 000 per undertaking active in the fishery and aquaculture sector or €100 000 per undertaking active in the primary production of agricultural products). This is across all UK schemes under the terms of the European Commission’s Temporary Framework. The Euro equivalent of the Sterling aid amount is calculated using the Commission exchange rate applicable on the date the aid is offered. Any aid provided under this scheme will be relevant if you wish to apply, or have applied, for any other aid granted on the basis of the European Commission’s Temporary Framework. You will need to declare this amount to any other aid awarding body who requests information from you on how much aid you have received. You must retain this letter for four years after the conclusion of the UK’s transition from the EU and produce it on any request from the UK public authorities or the European Commission. Aid may be granted to undertakings that were not in difficulty (within the meaning of Article 2(18) of the General Block Exemption Regulation) on 31 December 2019, but that faced difficulties or entered in difficulty thereafter as a result of the COVID-19 outbreak. This undertaking in difficulty test does not apply to small and micro undertakings (less than 50 employees and less than EUR 10 million of annual turnover and/or annual balance sheet) unless they were already in insolvency proceedings, have received rescue aid that has not been repaid, or are subject to a restructuring plan under State aid rules. This aid is in addition any aid that you may be have received under the De Minimis regulation allowing aid of up to €200,000 to any one organisation over a three fiscal year period (i.e. your current fiscal year and previous two fiscal years), and any other approved aid you have received under other State aid rules, such as aid granted under the General Block Exemption Regulation. Confirmation of State aid received under Scheme, and Undertaking in Difficulty status(Required) I confirm I have read and understood the Subsidy control guidance and that I have received the aid under measures approved within the European Commission’s Temporary Framework between March 2020 and December 2020.
