Covid Grant Form

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Covid Grant Form

Swale Borough Council - Tier 3 Restrictions Grant

On 02 December 2020, tier 3 restrictions were imposed by Government. This triggers the implementation of the Tier 3 Restrictions Grant. The basic idea of the grant is simple - financial support for businesses forced to close or significantly impacted by the national restrictions.

You are eligible to apply for a grant if one of the following applies:

Your business does not have commercial premises and has been instructed to close by the restrictions implemented on 02 December 2020.
Your business has commercial premises, has not been instructed to close but is severely impacted by the restrictions implemented on 02 December 2020.
Your business does not have commercial premises, has not been instructed to close but is severely impacted by the restrictions implemented on 02 December 2020.

*Businesses that have chosen to close but not been required to will not be eligible for this grant, unless they can demonstrate Severe Impact through cancelled orders for products and services to closed businesses in the retail, hospitality, leisure or events sectors.

Please read the Tier 3 Restrictions Grant Scheme Guidance Document BEFORE completing this application form.

Swale Borough Council will not be providing additional financial support to businesses that are already receiving grant funding via the Local Restrictions Support Grant (Closed) scheme. Nor will we be providing loss of income funding to businesses that will be eligible to claim in Round 3 of the Self-Employment Income Support Scheme grant.

The grant will be open to applications from the 08 December 2020.

Section 1 - Personal Details

Title*

Title is required

Forename*

Forename is required
Forename is required
Invalid characters: < > in Forename.

Surname*

Surname is required
Surname is required
Invalid characters: < > in Surname.

Telephone*

Telephone is required
Telephone is required
Invalid characters: < > in Telephone.

Email*

Email is required
Email is required
Email is not valid
Invalid characters: < > in Email.

Section 2 - About Your Business

Registered Name*

Registered Name is required
Registered Name is required
Invalid characters: < > in Registered Name.

Sector*

Sector is required

Postcode:*

A postcode is required

Building Name:

Secondary Name:

Street:

District:

Town:

County:

Business Type (Ltd company, charity etc)*

Business Type (Ltd company, charity etc) is required

Company Registration Number

Company Registration Number is required
Invalid characters: < > in Company Registration Number.

HMRC UTR

Invalid characters: < > in HMRC UTR.

Date Established*

Date Established is invalid, use the following format dd-mmm-yyyy
Date Established is required

Section 3 - Covid Impact

Indicate which is true*

Indicate which is true is required

In no more than 200 words, please provide an explanation on how your business has been impacted by the restrictions implemented on 2 December. Please note – we can only take into account how your business has been/is being affected by these most recent restrictions. Please provide as much detail as possible including specific loss amounts where known. *

Explanation of impact is requiredExplanation of impact exceeds the 200 word count limit.
Invalid characters: < > in Explanation of impact.

Section 4 - Bank Details

Please upload a recent business bank statement as evidence of trading or a personal bank statement showing business transactions. Please note the bank statement should be from the last 3 months and should clearly show the applicants/business name, address, and evidence of trading.*

Bank Name*

Bank Name is requiredInvalid characters: < > in Bank Name.

Account Name*

Account Name is requiredInvalid characters: < > in Account Name.

Account Number*

Account Number is required
Account Number is required
Account Number is not valid, must be 8 digits.
Invalid characters: < > in Account Number.

Sort Code*

Sort Code is required
Sort Code is required
Sort Code is not valid, must be 6 digits.
Invalid characters: < > in Sort Code.

My business was actively trading and generating sales revenue up to 4 November 2020

I am planning on continuing to trade my business from Swale after the restrictions have been lifted

Section 5 - State Aid Declaration

Has your business received more than €800,000 of public funding in the last 3 years?*

Yes No
Has your business received more than €800,000 of public funding in the last 3 years? is required

Section 6 - Declarations

I confirm that I have read and understood the Tier 3 Restrictions Grant Scheme Guidance Document. *

I confirm that I have read and understood the Additional Restrictions Grant Scheme Guidance Document is required

I confirm that my business operates in Swale.*

I confirm that my business operates in Swale is required

I acknowledge that my Local Authority will undertake any appropriate business checks considered necessary to assess the application and to check the nature, use and impact of the funding in the future.*

I acknowledge that my Local Authority will undertake any appropriate business checks is required

I confirm that without the grant, the viability of my business will be under threat as a result of the restrictions implemented on 2 December 2020.*

I confirm that without the grant, the viability of my business will be under threat is required

I confirm that I am not in receipt of the Local Restrictions Support Grant (Closed). *

I confirm that I am not in receipt of the Local Restrictions Support Grant (Closed) is required

I confirm that I will provide all required evidence to support my application.*

I confirm that I will provide all required evidence to support my application

I accept that any payments identified as ineligible payments will be subject to future recovery action. *

I accept that any payments identified as ineligible payments will be subject to future recovery is required

I declare that the information provided is true and accurate. *

I declare that the information provided is true and accurate

I Agree to ALL of the above declarations*

I Agree to ALL of the above declarations is required

By submitting this form you are agreeing to allow Swale Borough Council hold your information on a secure database for us to administer this grant scheme. Please tick this box if you would like Swale Borough Council to contract you in relation to other grant schemes and business support opportunities as they arise.

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Please note you have a number of rights under GDPR regulations including the right to opt out of this in future.