Your Details

Title

First name

Last name

Your role in the business

Telephone number

Mobile number

Email address (required)

Organisation Details

Organisation name

Organisation address

Postcode

Mobile number

Organisation website

*Please note we can only work on low carbon energy related projects located in the Dorset Council area – you can check if your premises are in the area on this UK Government Local Council finder page

Business profile, activities, and structures

Brief overview of your business profile and main activities

So we can do some quick checks? Please answer the following as fully as possible – thank you.

Please select what type of legal structure your business has (tick which apply):
Private Limited CompanyPublic Limited CompanyLimited Liability PartnershipGuarantee Company (Not for Profit)

Please select the size of your business (tick which apply):
Sole TraderMicrobusiness (less than 10 employees)SMELarge Business (over 250 employees)

No of employees (FTE)

Turnover in last financial year (£)

Is your business more than 25% owned by another business?
YesNo

If yes, please provide the names of any businesses which own more than 25% of your business

Please provide your Company Registration number (CRN) or Unique Tax Reference (UTR) code (if applicable)
Company registration number (CRN)

Unique Tax Reference (UTR) code

Date company was registered

Date trading began (where applicable)

Is your business VAT registered? (if yes, please provide VAT number)
YesNo

VAT number

Details about your project

Please use this section to provide us with more information on the project you are seeking support for.

What problem is your new low carbon product / process / approach addressing

How does your product / process / approach address it?

Why has no one done this before?

What specific activities / measures within your project will a Low Carbon Dorset grant help to fund? Please provide as much detail as possible.

What is the estimated cost of your project?

What is the estimated timescale of your project?

Please outline how far your project has progressed and what sort of support you need from Low Carbon Dorset

Subsidy Control

Low Carbon Dorset is provided through the UK Government’s Shared Prosperity Fund (SPF) and must comply with rules on Subsidy Control. It is your responsibility to understand the Subsidy Control implication of your application for your organisation. Please confirm below if you have received grants or other support subject to Subsidy Control in this financial year or the previous two financial years (you might also know this as State Aid). Please note that only one SPF grant is allowed per organisation. If we need more details following your expression of interest, we will let you know. Note that the following (among others) can be classed as subsidies/aid: Grants, loans, tax breaks, including enhanced capital allowances, and the use or sale of a state asset for free or at less than market price.

If the free technical advice you receive from Low Carbon Dorset qualifies as Subsidy Control we estimate that your organisation will receive 15 hours of technical support from Low Carbon Dorset. This support will be free to you but has a value for Subsidy Control purposes of £870, delivered via the Minimum Financial Assistance route, which currently has a maximum threshold of £315,000 in any three-year period.

Has your organisation received any State Aid/Subsidy Control in the last three years?
YesNo

If you answered YES, please provide further details including:
- The Public Authority giving the aid e.g. Levelling Up Funds
- The £ Value of the aid e.g. £75,000
- Date aid received e.g. 08.12.2022
- Route used to give the aid e.g. Minimal Financial Assistance (similar to de minimis for EU state aid)

Name of applicant

Date

How did you hear about Low Carbon Dorset?
Event or workshopWord of mouthWebsiteNews articleDorset CouncilBCP CouncilSocial mediaSupplier/InstallerOther (please specify)

Other detail

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