Extended Restrictions Business Fund Discretionary Grant application

What you'll need to complete this application
To complete this application, you will need to provide:
- the turnover figure for the last full year of trading prior to the coronavirus pandemic
- Your business bank details
- Details about any subsidy (as defined in the UK-EU Trade and Cooperation Agreement) you have received during the previous 3 fiscal years and all Covid-19 related financial support you have received since March 2020
- at least one of the following:
Please take your time to complete this form. If the information you provide is incomplete or incorrect, your application will be rejected.
Are you liable to pay Business Rates on or before 30th November 2020 (in some circumstances you may be liable to pay Business Rates but get 100% Small Business Rates Relief, so have nothing to pay)?
YesNo

You cannot complete this form

Businesses liable to pay business rates on or before 30 November cannot apply for this grant.

You may want to apply for the Restrictions Business Fund NDR Grant.

Find out more about the Business Fund NDR grant.

Your personal details
This part asks for information about you the applicant / business owner.
First name
Last name
Email address
Phone number
Your address

Please enter a Denbighshire postcode and then press the ‘Find address’ button.

Alternatively, please type in your address below.
Postcode
Address line 1
Address line 2
Address line 3
Address line 4
Address line 5

Information about your business
This part asks for information about your business. Please ensure the details in this section are accurate and complete. Application forms that have incomplete or inaccurate data will not be processed.
Business or trading name
Business sector / type of business
Date business started trading
How many employees are in your business in February 2021?
Street
Town/City
Local Authority
Postcode
You must provide one of the following:
- VAT Registration No
- HMRC Unique Taxpayer Reference
- Company Registration Number
- Hackney carriage license number or private minicab licence number
Vat Registration No (if applicable)
Company Registration No (if applicable)
HMRC Unique Taxpayer Reference (if applicable)
Hackney carriage license number or private minicab licence number (if applicable)
Is your business a limited company or sole trader / partnership?
Limited companySole trader / partnership

Limited companies
Does your business have an annual turnover of between £10,000 and £50,000?
YesNo
You may be required to provide evidence to support your answer

Sole Traders / Partnerships
Does your business have an annual turnover of less than £85,000?
YesNo
You may be required to provide evidence to support your answer

You are not eligible for this grant

Limited companies

Limited companies must have a turnover of between £10,000 and £50,000 to qualify for this grant.

Sole traders / partnerships

Sole traders / partnerships must have a turnover less than £85,000 to qualify for this grant.

Please visit our emergency support for businesses webpage to find out about more help available.

Impact of the restrictions on your business
Please confirm or otherwise if the statement on the application form applies to your business. The local authority may request further information/documentation to evidence this estimated turnover reduction. Also in this section please tell us how the latest restrictions introduced during December will directly affect your business.
Has your business been forced to close as a direct result of the extended national restrictions put in place for businesses?
YesNo
Will your business turnover be materially impacted by the extended restrictions (more than 40% reduction in estimated turnover) as compared to an equivalent restriction free trading period prior to 23rd March 2020 (or an equivalent period since then if they started trading after 23rd March 2020)?
YesNo
Please provide the turnover (sales) figure for the last full year of trading prior to the coronavirus pandemic, which should be 2019/20. If the business is less than 12 months old, please provide an estimated annual turnover figure since trading commenced. Please ensure this figure is correct as we may ask you to provide evidence to support the figure. We will also be checking this figure against the figure you may have provided in other grant applications.
Please tell us how the extended restrictions introduced in Wales announced on 29th January 2021 will affect your business

Your business bank details
Please provide your business bank account details as this information will be used to make the grant payment to you – please ensure these details are correct.
Bank name
Account name
Account number
Sort code
We may request your latest bank statements and further information to evidence trading activity.

Subsidy Control

If awarded a grant you must ensure that its use is compatible with the applicable agreements contained in the World Trade Organisation rules, UK-EU Trade and Cooperation Agreement, any Free Trade Agreement involving the UK, the Northern Ireland Protocol and any domestic legislation.

As part of your application, you must declare if you have received any subsidy (as defined in the UK-EU Trade and Cooperation Agreement) during the previous 3 fiscal years (i.e. current fiscal year and the previous two fiscal years) together with the amount received and details of the awarding body.
Have you received any subsidy (as defined in the UK-EU Trade and Cooperation Agreement) during the previous 3 fiscal years (i.e. current fiscal year and the previous two fiscal years)?
YesNo
Please tell us about the subsidy (as defined in the UK-EU Trade and Cooperation Agreement) that you have received during the previous 3 fiscal years and all Covid-19 related financial support you have received since March 2020 including the; body providing assistance, amount (£s) and date. Examples could include Economic Resilience Fund, Start-up Grant, Non Domestic Rate Grant, Restrictions Discretionary Grant, SEISS, Furlough.

Declaration

I have read and understood the Restrictions Business Fund Discretionary Grant guidance.

My business operates in Wales.

If awarded a discretionary grant, I confirm that the total amount of Covid-19 support grant received (e.g. previous discretionary grants) does not exceed 80% of my business turnover for a typical year of trading.

My business was actively trading and generating sales revenue up to 6pm on the 4th of December 2020 for hospitality businesses or the 19th of December 2020 for other businesses

I acknowledge that my Local Authority or the Welsh Government 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 am not in receipt of, or applying for, the Restrictions Business Fund NDR Grant

I am not eligible for the ‘top up’ payment via the extended Welsh Government Culture Recovery Fund freelance grant.

I have not received a Children and Communities grant.

I confirm that this business is my main source of income (more than 50%)

I confirm that I will provide all the required evidence to support my application for the Restrictions Business Fund Discretionary Grant if it is requested.

I confirm that I have read and understood the privacy statement of the Restrictions Business Fund Discretionary Grant (external website)

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

I declare that the information provided in this application is true and accurate.
Please read the declarations and tick the box to confirm you accept and understand them.
I agree to, and understand, all the above declarations

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Extended Restrictions Business Fund for Discretionary Grant application

What happens to my information?

Limited companies

Sole traders / partnerships

Tell us whether you accept cookies

What happens to my information?

Limited companies

Sole traders / partnerships

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