Additional Restrictions Grant - Supply Chain

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Verification

Please tell us the address that relates to your request.

Address

Use this form to apply for additional restrictions grant (Supply Chain)

Company / trader information

Company / trading name (as registered with Companies House)

Business trading address

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Company registered address (if applicable)

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Business details

Please provide details about your business

Business rates account number (This can be found on your bill,
This usually starts with a 9 and contains 10 numbers or letters)

Business property reference number (if known - This can be found on your bill,
This contains 13 numbers or letters)

Do you have a company number?
(This is your CRN number as shown on companies' house)

Company number

If you do not have a CRN number you must supply one of the following.

Business ID

VAT registration number

Self-Assessment / Partnership number

National Insurance Number

Registered Charity Number

Unique Taxpayer Reference

Which Business sector from the following do you fall under?
(If you are registered on companies house this is your S.I.C number)

Which of the following business types do you supply to:

Who are your main customers? (Business names)

Please describe the nature of the products and services you supply to those businesses.

How many employees do you have?

Were you open and trading on 13 October 2020?

Have you remained open and trading since this date?

Please provide the date that you closed?

Was the majority of your trade within the Hospitality, Accommodation, Leisure or Entertainment sectors prior to restrictions?
(Please note: Further evidence of your business to business activity may be requested to verify your claim. This may include invoices, receipts, accounts)

Despite any diversification have you suffered a significant loss of trade since 13 October 2020 as a result of local or national restrictions?
(Please note: Further evidence of your business to business activity may be requested to verify your claim. This may include invoices, receipts, accounts)

You are only able to upload one document
Acceptable file types are doc, docx, xlsx, xls, txt, pdf, html, gif, svg, msg, png, tif, tiff, jpg and jpeg.
Please do not use special characters in file name of the document you upload

Please supply evidence of your business insurance (3rd party/indemnity)

Upload from camera or file

Fixed Property Costs (non business rate payers only)

Please provide the following information if you are not registered and paying business rates in Doncaster.
If you run your business from your home domestic costs are not included.

Amount of average annual rent or business premises mortgage

Upload instructions

You are only able to upload one document
Acceptable file types are doc, docx, xlsx, xls, txt, pdf, html, gif, svg, msg, png, tif, tiff, jpg and jpeg.
Please do not use special characters in file name of the document you upload

Please supply a copy of your lease or mortgage agreement

Upload from camera or file

Please provide evidence of payment of this amount for the previous 3 months

Upload from camera or file

Amount of any other annual fixed property costs. For example, accommodation hire fees

Description of any additional costs you have specified

Please supply evidence of payment of these costs for the previous 3 months

Upload from camera or file

Payment details

Please provide bank details for the payment to be paid to.

These MUST be the bank details of the eligible business or individual.

Bank account details

Name on bank account

Sort Code (6 digits)

Bank or Building society account number (8 digits)

Building society roll number

Please upload a copy of a recent bank account statement

A copy of a business bank statement, clearly showing the bank account holder’s name, sort code and account number and business address.
Failing to supply this may delay any payment being processed

Upload instructions

You are only able to upload one document
Acceptable file types are doc, docx, xlsx, xls, txt, pdf, html, gif, svg, msg, png, tif, tiff, jpg and jpeg.
Please do not use special characters in file name of the document you upload

Upload from camera or file

Applicant details (Person completing form)

Title

Forename

Middle name

Surname

Position within company

Telephone number

Applicant contact address

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Final Declaration

By submitting this application I confirm that the business/individual named on this application

Has not already received a payment under either the Local Restrictions Scheme Grant or The Additional Restrictions Grant.
Was open and trading as usual on 13 October 2020.
Has not already received grant payments that equal the maximum levels of State aid permitted under the de minimis and the Covid-19 Temporary State Aid Framework.
Was supplying to businesses in the South Yorkshire area
Has fixed property costs or a rateable value under the thresholds required by the scheme (Please see the main internet page for all costs).
Prior to restrictions was supplying mainly to the Hospitality, Accommodation, Leisure or Entertainment sectors.
Has suffered a significant loss in business since 13 October 2020

I confirm

I understand that the supply of false information for the purpose of obtaining a grant payment is an act of fraud and is subject to prosecution. The decision to award or withhold a grant payment is entirely at the discretion of Doncaster Council. Any grant wrongly claimed and paid will be recoverable from the recipient business or individual.

I understand