October/November 2023 Flood Emergency

October/November 2023 Flood Emergency
Armagh City Banbridge & Craigavon Borough Council are committed to protecting your data and respecting your privacy, please read the Privacy Policy contained in the link below for details of our data handling and your rights.

armaghbanbridgecraigavon.gov.uk/privacy
Agree*

YesNo
Business Name :*
Address*

First Line of Address (Postal Number and Street)

Second Line of Address (if applicable)

Town / Village State / Province

Postcode
Trading Name of Business (if different from Business Name)
Trading Address of Business (if different from above)

First Line of Address (Postal Number and Street)

Second Line of Address (if applicable)

Town / Village State / Province

Postcode
Name of Business Owner *

First NameLast Name
Contact Telephone number *
Email address*
example@example.com
Ratepayer ID *
Occupancy ID *
On what date was your business first impacted by the recent flooding?*

MonthDayYear
Date
Business Bank Account Name (will be verified prior to issue of payment)*
I declare that the business named above was ordinarily occupied on the date of flooding *

YesNo
I declare that the business named above was ordinarily trading on the date of flooding *

YesNo
I declare that the business named above was paying appropriate rates on the date of flooding *

YesNo
I declare that the business named above plans to reopen in due course *

YesNo
I confirm that the business named above had no insurance to cover flood damage on the date of flooding *

YesNo
I confirm that the business named above is a SME (small or medium sized enterprise) and was trading as such on the date of flooding *

YesNo
I confirm that all of the information provided above is accurate at the time of submission. *

Yes
Please provide photographic evidence of your premises being impacted as a result of flooding.

Max file size 5MB
Cancelof
If any information in this submission is found to be inaccurate and/or misleading, you must repay, in full, any payments received.
Should be Empty: