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Coronavirus - business rates grant form

Coronavirus - business rates grant (November 2020) form

Use the form below to apply for a grant if your business was forced to close between 5 November and 2 December 2020 due to coronavirus.

If you wish to apply for a further grant for the more recent period, from 19 December 2020 onwards, complete our Tier 4 business rates grant form.

This form should only be completed by businesses who pay business rates direct to Wokingham Borough Council and have a business rate account reference number.

Please ensure you have read the National Lockdown (November 2020) guidance and FAQs (PDF document) before completing this form.

If you still see the form, rather than an acknowledgement message, when you press 'Submit', check each field for a red error message and amend where required before re-submitting.

Indicates mandatory fields

Coronavirus business rates grant form

Information required from ratepayer for grant payment:

Grant payments will be made by BACS. Please provide the following details:

 

Declaration

 

Before you can proceed, you must confirm the following:

This award shall comply with the EU law on State Aid on the basis that, including this award, I the applicant shall not receive more than €800,000 in total of aid within any given 3-year period under the European Commission’s Temporary Framework  for State Aid including the COVID-19 Temporary Framework scheme for the UK.

Tick to agree with above statement:

I declare that as at 5 November 2020 that the applicant's undertaking was not in financial difficulties. (For the avoidance of doubt, businesses that were in administration, are insolvent or where a striking-off notice has been made at the date of the local lockdown are not eligible for funding under this scheme.)

 
Tick to agree with above statement:

I understand that knowingly providing incorrect information, or knowingly making a false declaration, could lead to a prosecution under the Fraud Act 2006. I claim the grant, and declare that I am authorised to act on behalf of the above named account holder and are entitled to the grant.

 
Tick to agree with above statement:

This grant is for the ratepayer only, and may be liable for recovery if the recipient was not the ratepayer on the eligible date.

Tick to agree with above statement:

The information provided in this form may be shared with the Department for Business, Energy and Industrial Strategy for monitoring and evaluation purposes only. To find out more about how we use personal information see our  privacy statement.  

 

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