Local Discretionary Business Rates Relief

Does your premise have a rateable value of: *

£200000 or moreLess than £200000

Business rates account details

Business rates account no:

Name of ratepayer : *

Address of the business: *

De Minimus aid

In order to apply you need to declare all De Minimus state aid you have received in the last three years.

Small Business Rate Relief is not classed as De Minimus aid and therefore does not need to be declared on the application form.

Please provide details of all previously received De Minimis aid.

Did you receive aid in 2015/16: *

YesNo

Amount of De Minimus aid: *

Organisation providing the aid: *

Nature of the aid e.g. Retail Relief: *

Did you receive aid in 2016/17: *

YesNo

Amount of De Minimus aid: *

Organisation providing the aid: *

Nature of the aid e.g. Retail Relief: *

Did you receive aid in 2017/18: *

YesNo

Amount of De Minimus aid: *

Organisation providing the aid: *

Nature of the aid e.g. Retail Relief: *

Your contact details

Title: *

First name: *

Surname: *

House name/number:

Postcode: *

Phone number:

If we need to phone you our number will show as withheld.

Email address:

Please note that we may use your email address for future correspondence.

Please enter a valid email address or leave blank if you do not have an email address

Data Protection

The information you have provided on this form will be used to deal with your request by the relevant department. We may pass your details on to contracted third party service providers. We will store a copy of your completed request as a backup for 12 months.

If you would like to know more about how we use your information and how you can exercise your information rights please see our privacy notice.

Please tick to confirm you accept these conditions.

Declaration

By submitting the form, you are declaring that the award of relief shall comply with the EU law on State Aid on the basis that, including this award, you shall not receive more than €200,000 (euro) in total of De Minimus aid within the current financial year and the previous two financial years.

I am the ratepayer or person authorised to apply for the relief and I confirm that the company or sole trader applying shall not exceed its De Minimis threshold by accepting this relief.

I understand that:

If I give information that is incorrect or incomplete, you may take action against me.
You may check some of the information with other sources as allowed by the law.

Please tick to confirm you accept these conditions.