Additional Restrictions Grant Round 2a Application Form

In order to complete your application you will need to upload a current, signed property lease, accounts for the previous two years and your most recent bank statement. Please ensure you have these in an electronic format before completing the form.

Only eligible businesses will be able to submit an application for Additional Restrictions Grant Round 2a. Please see the ARG Discretionary Business Support Grant policy.

All fields with * are mandatory, and should be completed in full.

Applicant / Business Details

Business Rates reference if you have one (12 digits long, starts with a 5 and is on your bill)

Title

First Name

Last Name

Business Name

Business Email

Telephone Number

Position In Company

Business Address

Search for a Wigan address by street / postcode

Bank Details

Bank Name

Name as it appears on your Business Bank Account

Bank Sort Code (6 digits, no dashes or spaces)

Bank Account Number (8 digits)

VAT Registration Number (if applicable)

Companies House Number (if applicable)

About Your Business

How would you describe your business e.g. Wholesalers

Describe how the local lockdown has affected your business and trade? 0 of 500 characters

Number of employees

Declaration

I declare that the information on this form is correct and complete to the best of my knowledge and belief. I understand that it is a criminal offence to make a statement or representation that I know to be incorrect or to provide documentation that is false or I fail to disclose information to the authority where the law requires it, after this form is complete. If I do so I may be prosecuted. I understand Wigan Borough Council is under a duty to protect the public funds it administers and to this end may verify the information I have provided on this form with other internal departments, government agencies, local authorities and private sector organisations for the purpose of billing, collection and recovery of business rates and for the prevention and detective of fraud. Wigan Borough Council may also share this information with these agencies and other bodies' responsibilities for auditing or administrating public funds for these purposes.

I Agree