CORONAVIRUS BUSINESS SUPPORT SCHEME CBL APPLICATION FORM
Please ensure all fields are filled out correctly to help speed up the verification and payment process.
Please select which of the following sectors your business operates in*
Please provide a brief description of your business*
Please confirm your average eligible monthly overhead costs £*
Please outline each of your eligible monthly business overheads and corresponding costs below (eg Rent - £xxx, Utilities - £xx)*
Please note - If requested, applicants will be required to evidence their average monthly business overheads.
Support under this Scheme is only available to businesses and self-employed persons who have regular, genuine business overheads, excluding salaries or personal expenses, of £250pcm or more. The Scheme guidance contains further information on what expenses may be included as business overheads. Please review here https://www.iomdfenterprise.im/financial-support/funding/cbss-cbl
Qualifying business overheads include (but not limited to) the following: -
- Rent on commercial business premises (to be paid to independent third parties only);
- Commercial premises operating costs including rates, utilities, insurance, cleaning;
- Audit, accountancy, professional and subscription fees;
- IT operating costs including licenses;
- Existing lease, hire purchase or finance costs relating to business equipment, vehicles or machinery (to be paid to independent third parties only);
- Routine bank charges;
- Capital (business and loans) or interest repayments;
- Mortgage payments (for business premises);
- Supplier invoices;
- Purchases of fuel and equipment (business use only); and
- Other reasonable business costs incurred as agreed by the Department on a case by case basis.
The following costs are specifically excluded:
- Salary costs;
- Personal costs;
- Payments to related entities (with the exception of payments in respect of shared costs within a group structure and subject to the Department’s discretion); and
- Directors’ fees.
The Department for Enterprise Support Scheme Declaration
I hereby confirm to the Department for Enterprise that I am NOT in receipt of funding via any of the following active DfE Schemes, which includes the Coronavirus Business Support Scheme (CBSS) Round 4, the Strategic Capacity Scheme (SCS) Round 4, and the Coronavirus Recovery Scheme (CRS), previously known as the Financial Assistance Scheme (FAS) Appendix 10.
I understand that a person who provides false, incomplete or misleading information in connection with an application under the Scheme commits an offence. Maximum penalty (summary) – a fine of level 5 on the standard scale and/or 6 months in custody.
Section 2 – Eligibility Criteria
When did your business start trading?*
Section 3: Business Information
Please confirm whether you applying as *
Note that if you are the sole employee working for your incorporated company select ‘Businesses including limited companies with no staff other than the owner(s)
If Retail, please confirm the total number of full time equivalent employees
Other Sectors, please confirm the total number of both full time and part time employees
Please note
- Retail sector is limited to 26 or fewer full time equivalent employees, not including the owner
- All other sectors have a maxium limit of 100 permanent employees, not including the owner
Section for Self-Employed
If you are applying as a self-employed person when did your self employment commence?
General Business Information
Employer Tax Reference Number ( if applicable - not applicable for Sole Traders)
National Insurance Number (Self-employed only)
VAT Registration Number (if applicable)
*Note that self-employed and sole trader applications must provide their National Insurance Number, failure to do so will result in the application being returned and delays to any payment being made
Company Registration Number (if applicable)
Please list the beneficial owners of the business and their % shareholding, Example John Smith 25%*
Registered Company Address(if different to affected business location address above)
In order for payment to be made, please supply and check your bank account details (business preferably) incorrect details will slow down any payments
Account Name - Please use capitals and maximum length of 18 characters*
Account Number - 8 digit number only*
Sort Code - 6 digit number only*
CORONAVIRUS BUSINESS SUPPORT SCHEME CBL
I/We confirm that I am/we are duly authorised to make this application and that the business is trading lawfully and is not operating in contravention of any statutory requirement relating to its trade or business. The business’ conduct (to the best of my/our knowledge) is not detrimental to the environment of the Isle of Man, nor is it likely to bring the Department into disrepute.
I/We declare that the information given in this application is correct.
I/We understand that a person who provides false, incomplete or misleading information in connection with an application under the Scheme commits an offence. Maximum penalty (summary) – a fine of level 5 on the standard scale and/or 6 months in custody.
I / We acknowledge that the Department for Enterprise collects and processes your personal information to allow public authorities to respond to requests for information made under the Freedom of Information Act 2015. Should your personal information be subject to such a request, information will not be released into the public domain without your prior notification. The Department will where appropriate uphold all applicable exemptions in accordance with the Freedom of Information Act 2015, Data Protection Act 2018 & Law Enforcement Directive 2018.
I/We understand and permit that the information I/We provide will be used by the Isle of Man Department for Enterprise in accordance with the Data Protection Act 2018 for the purposes of administration, research, analysis and to inform me/us of relevant marketing information. To view a copy of the Department’s Privacy Notice, click here. The Department will not share my details with third parties without firstly seeking my permission.
The Department for Enterprise will not share your data with any third party that has not been explicitly listed by you.
I/We confirm that the business satisfies the probity requirements set out in this declaration and has an appropriate anti-bribery policy as required by section 10 of the Bribery Act 2013.
I declare that :-
- I have read and understood the terms of the Scheme and accompanying Guidance.
- I am authorised to submit this application on behalf of the business.
- All business owners are aware of this application.
- The information I have given on this form is correct and complete in relation to the period it covers as to:
- the particulars of the business, and
- the qualification of the business under the Scheme
- I understand that the information I have given on this form may be checked with other sources.
- I understand that if I give information that is incorrect or incomplete I and/or the business may be prosecuted.
Confirmed by applicant name and position in the company, Example - John Smith, CEO*
In order to assess your application form The Treasury, The Assessor and The Collector will need to verify and check your eligibility and your application will be checked against information held by the Treasury and the Department for Enterprise. The lawful basis for sharing this information, which may include personal data, is provided for in the Applied GDPR where this is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the Treasury.
To progress your application, Treasury will undertake these enquiries and relevant data, which may include personal data, which will be shared between the Treasury and the Department for Enterprise.
Any data shared will only be used for the purposes of assessing the application and will be in accordance with Treasury’s Privacy Notice which can be viewed at:
https://www.gov.im/about-the-government/departments/the-treasury/privacy-notice/
To the fullest extent permitted by law, neither the Department nor its 3rd party contractors accept any liability for any loss suffered by the business as a result of any action or inaction taken by the business in relation to guidance offered.
To view a copy of the Department for Enterprise Privacy Notice, please visit: https://www.iomdfenterprise.im/policy/privacy-policy
Should you have any queries surrounding this Policy, please contact:
- DEPARTMENT FOR ENTERPRISE DATA PROTECTION OFFICER:
- Address - St George’s Court, Upper Church Street, Douglas, Isle of Man, IM1 1EX
- Tel - +44 1624 686400
- Email - DPO-DfE@gov.im