Liverpool City Council

Bank details

Name of bank or building society

Account holder's name

Account number

Sort code

You will need to send a business bank statement which is no more than 2 months old to support your grant application. If you are entitled to a payment, we will pay it into this bank account.

Declaration

By submitting this form, you declare that

1. I confirm I am authorised to submit this application form on behalf of this business and consent to this information being shared with a third party agency for verification purposes
2. I declare that my business meets the criteria for a Omicron Hospitality and Leisure Scheme payment and the information I have provided is complete and accurate
3. I confirm that, including the payment of this grant, my business will not breach the Subsidy Control.

You must agree to all of the above declarations in order to submit your application.

Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page

Apply for an Omicron Hospitality and Leisure Grant scheme award