Business rates subsidy allowance declaration 1Using the form2Declaration3About the business4Correspondence address5Previous subsidies received6Other information Use this form to tell us about all aid you have received for the current and previous two financial years. To help us to work out if you are eligible to receive business rate relief, you must declare the full amount of subsidies that you have been given for the current and previous two financial years. This was previously referred to as State Aid. Any assistance you have received from a public body might be counted towards your subsidy allowance and should be included on this form. This could be payments from central, regional or devolved governments, agencies or local authorities. This will include any mandatory or discretionary business grants you have received since April 2020 to assist your business during the Coronavirus pandemic. This form will ask you to provide your name and position within the organisation your business rates account reference the full name of the ratepayer your business address and contact details correspondence address (if different from your current business address) details of all previous aid or subsidies received. This form must be completed by the ratepayer or someone authorised to do so on their behalf. Please have this information ready as pages time-out after one hour. Do not use your browser back button – if you need to go to a previous page click on the previous button at the bottom of each page. Privacy Statement Dover District Council is a Data Controller under GDPR. In submitting this form we will collect and process your personal data. For information about your rights and how the Council uses your data, please view our Corporate and relevant service privacy notice which can be found on our Privacy page. DeclarationPlease check the box below to indicate your acceptance of the following statement: I confirm the details I will give are correct and that I will notify you of any relevant changes within 21 days of the change. I understand that if I give information that is false this could lead to a penalty or legal proceedings being taken against me. I understand that you will keep any information I give on the application form on your computer system, and you may check it with other information you have. I understand my data may be shared with other departments as permitted by law. Declaration(Required) I understand and accept the above declarationYour name(Required)Position in the company or organisation(Required)For example secretary, treasurer About the businessBusiness rates account reference(Required)You can find this on your business rates billBusiness nameRatepayer's full name(Required)Contact phone number(Required)Business website address (if applicable)Email address(Required) Enter email address Confirm email address Would you like to receive your business rates bills by email?(Required)You can receive your business rates bills by email rather than post. We will send all future business rates bills to the email address you have given above. If you change your email address you must let us know straight away. You can opt out of this at any time at dover.gov.uk/paperlessrates Yes No About the business addressBusiness address(Required) Address line 1 Address line 2 Town or city Postcode Correspondence addressIs the correspondence address the same as the address for which you are applying?(Required) Yes No Correspondence address(Required) Address line 1 Address line 2 Town or city Postcode Previous subsidies receivedTo help us to work out if you are eligible to receive business rate relief, you must declare the full amount of any subsidies or De Minimis aid that you have been given for the current and previous two financial years. Any assistance you have received from a public body might be an eligible subsidy or De Minimis aid. This could be from central, regional, devolved governments, agencies or a local authority. You should include any mandatory or discretionary business grants you have received since April 2020 to assist your business during the Coronavirus pandemic. Please provide the following information about any previous subsidies received: organisation providing the subsidy value of subsidy (£) date subsidy received (dd/mm/yyyy) brief details about the subsidy received. Previous subsidies received(Required)Click on the + sign at the end of the row to add another previous subsidy received.OrganisationValueDate receivedBrief details Add Remove Other informationPlease use this box to tell us any other information.If you have no further information to give, leave this box blank