Discretionary business rates relief scheme application Please use this form to apply for discretionary business rates relief. Please provide as much information as possible so that we can deal with your application quickly. Please see the link to our privacy statement to learn what we do with the information we collect from you. A. Business or organisation details 1. Your business rates account number 2. Business rate payer's name 3. Address of property where relief is being applied for 4. Property postcode 5. What is the property used for? B. State aid information State aid is any advantage granted by public authorities through state resources on a selective basis to any organisations that could potentially distort competition and trade in the European Union (EU). State aid rules can (among other things) apply to the following: grants, loans, rating reliefs etc, tax breaks, including enhanced capital allowances, the use or sale of a state/public asset for free or at less than market price. The rules can apply to funding given to charities, public authorities and other non-profit making bodies where they are involved in commercial activities. De minimis aid is small amounts of state aid given to an enterprise which cannot exceed €200,000 over any three fiscal years to any company irrespective of size or location. De minimis aid can come from any State body, authority, agency or department. 1. Does your company or organisation qualify for "de minimis" aid? YesNo 2. Does your company or organisation receive any other "de minimis" aid, (including any other financial support such as retail business rate relief). Yes, please answer question 3 belowNo 3. If you answered "yes" to question 2, please say how much aid your company or organisation has received in 2014/2015: 2015/2016 2016/2017 C. Your details We need your details in case we need to contact you. 1. Your name First name Last name 2. Your position in the company or organisation 3. Your email address 4. Your phone number Please use this format: 01494 123 456 Next Page Your privacy We will collect and process some personal information as part of your query. We need to collect and process the information so that we can perform a task carried out in the public interest and in the exercise of our official authority: that is, dealing with your query. We will collect this information through a web form. We will not share any of the information collected with any other person or organisation. We ask for this information to help us deal with your query. We ask for personal identifiable details (name, address and contact details) so that we can confirm your location and contact you for further information, if required. Your information collected through the web form will be sent to the relevant council service by email. Your information will also be held within our web content management system (CMS) database for 31 days and then permanently deleted. The database is held in a secure UK based data centre leased by our CMS provider: Zengenti Ltd, Old Pump House, Cleedownton, Ludlow, SY8 3EG. Please also refer to our full data privacy statement. Previous Page Send you application