Please ensure you have read the accompanying Guidance Notes and Checklist; Terms and Conditions and Privacy Notice for this scheme before completing the application form.

For CQC - enter the provider registration number, not the location ID for the care home.

For the purposes of this grant scheme, a business is considered to be trading if it is engaged in business activity. This should be interpreted as carrying on a trade or profession, or buying and selling goods or services in order to generate turnover.

Please provide at least one of the following unique identifiers for your business:
•Companies House Number (if applicable)
•Charity commission registration number (if applicable)
•Unique Taxpayer Reference if self-employed/sole trader (if applicable)
•VAT Number (if applicable)
•Partnership /Self-assessment number if partnership (if applicable)

The business must be a Small or Micro business Under the Companies Act 2006, a Small business must satisfy two or more of the following requirements in a year:

• Turnover: Not more than £10.2 million;
• Balance sheet total: Not more than £5.1 million;
• Number of employees: a staff headcount of not more than 50.

Under the Companies Act 2006, a Micro business must satisfy two or more of the following requirements:

• Turnover: Not more than £632,000;
• Balance sheet total: Not more than £316,000;
• Number of employees: a staff headcount of not more than 10.

If you operate business premises in another local authority within Liverpool City Region (Halton, Knowsley, Liverpool, Sefton, St Helens, Wirral), and you would like those premises to be considered for this grant, you will need to submit a separate application to the local authority where the premises are located.

What is the address of the business premises you are applying for within the Liverpool boundary?

You must provide a recent full business bank statement in PDF format (dated within the last month) for the account you want us to pay the grant into which should match the details you have entered above. The business bank statement should clearly show the Account Holder Name, Account Number and Sort Code, business transactions and the name and address of the account holder. If you are self-employed/ sole trader you can provide details of a personal bank account and statement provided this is the account you use for your business/trading activity.

I confirm that:

• All of the information provided in this application is accurate and true and that I am authorised to submit this application on behalf of the business.
• This Business is not in administration nor insolvent nor has a striking-off notice been made against it, which would make this application ineligible.
• I am not a disqualified Director nor subject to fraud investigations nor have been found guilty of improper business activity or similar.
• My business is not subject to any enforcement action by the regulatory authorities e.g. Environmental Health, Licencing, Police; and/or has had their Ofsted or CQC registration suspended or removed.
• By making this application I agree that the business will abide by all of the terms and conditions of grant outlined in the accompanying Terms & Conditions.
• I acknowledge it is a criminal offence to make a misrepresentation that could lead to prosecution.
• I understand that grant income received is taxable and therefore funding paid under this grant scheme will be subject to tax.
• I permit the Council to share this information for the prevention and detection of fraud.

This scheme counts towards Subsidy control limits. This scheme is covered by 3 subsidy allowances:

• Small Amounts of Financial Assistance Allowance – you’re allowed up to £335,000 (subject to exchange rates) over any period of 3 years
• COVID-19 Business Grant Allowance – you’re allowed up to £1,600,000
• COVID-19 Business Grant Special Allowance - if you have reached your limits under the Small Amounts of Financial Assistance Allowance and COVID-19 Business Grant Allowance, you may be able to access a further allowance of funding under these scheme rules of up to £9,000,000, provided certain conditions are met.

Grants under these 3 allowances can be combined for a potential total allowance of up to £10,935,000 (subject to exchange rates).

• I confirm that the business I am applying for has not received any form of state aid or subsidy which, with the grant presently applied for, would be in excess of the amount currently sanctioned as outlined.
• I have read and understood the scheme Privacy Notice.
• The business has not previously received a Grant administered by an authority in the Liverpool City Region since the 1st October 2020 such as:
• LCR Hospitality and Leisure Grant
• LCR Hospitality, Leisure and Retail Grant (Expanded Scheme)
• LCR Local Business Support Grant
• I declare the information to be correct to the best of my knowledge and would like to continue to submit my application.