CORONAVIRUS BUSINESS SUPPORT SCHEME CBSS6 - Funding round 6 - July 2021 (Business Support for the loss of turnover during the period April - June 2021) APPLICATION FORM
Section 1: Eligible Criteria - Part A
Please ensure you select one sector :-
**Any business directly linked to the tourism and travel sector deriving more than 50% of its income from tourism and travel, that can prove to the satisfaction of the Department for Enterprise’s Chief Executive that it has and continues to suffer at least 50% reduction of turnover as a direct result of the border restrictions imposed due to COVID-19.
Please provide a brief description of your business and how it has been impacted by the border restrictions*
Please confirm that the Business you are applying for is your primary source of income*
Important note – Primary source of income is defined as one of the following:
- Only source of income; or
- Main source of income; or
- Income above £6,500.
Section 1: Eligible Criteria - Part B
Confirm you have suffered a 50% reduction in turnover when comparing your revenue for the period April, May and June 2021 against the period April, May and June 2019, and agree to provide documentary evidence of this if required by the Department to do so*
Please declare your revenue (i.e. income only; not profit) for the period April, May & June 2019*
Please declare your revenue (i.e. income only; not profit) for the period April, May & June 2021*
Please state which month any CBSS or CBSS CBL funding was received*
Confirm your business was operating on 28th February 2020 and remains in operation*
Confirm it is the intention of the business to continue trading through the current, difficult conditions into at least the short to mid-term future*
Confirm that you understand if the business ceases trading any grant received may be repayable*
Do you have any arrears or overdue payments of more than 3 months which are more than £3,000 relating to Income Tax, National Insurance and VAT*
Please note: Applicants who may be in this situation are encouraged to apply and full tax/ITP/NI checks will be undertaken to determine the current status and eligibility.
Please list the beneficial owners of the business and their % shareholding, Example John Smith 25%*
Section 2: Applicant Information
Please confirm whether you're applying as *
*Note: if you are the sole employee working for your incorporated company, please select ‘ Businesses including limited companies with no staff other than the owners’.
If your business employs staff other than the owners, you are ineligible under CBSS, but may be eligible to apply under the DfE Coronavirus Recovery Scheme
If applying for more than one DfE scheme at the same time, please ensure that you use a different email address (if possible) for each application submitted as this will speed up the processing of your applications.
Employer Tax Reference Number (N/A for Self-Employed)
National Insurance Number (Self-Employed only)**
VAT Registration Number (if applicable)
**Note Self-Employed applicants must provide their National Insurance Number or the application will be returned and will take longer to process.
If you are applying on behalf of a Business you must provide the Employer Tax Reference Number and the owner(s) must be registered as employees of the business.
Company Registration Number (if applicable)
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*