Download SCHEME OF EMERGENCY FINANCIAL ASSISTANCE

SCHEME OF EMERGENCY FINANCIAL ASSISTANCE - FARMLAND
APPLICATION FORM – please complete in INK and in BLOCK CAPITALS
Reference number (for office use only).............................................
Approximate start date of flooding ........../........../.................
Approximate end date of flooding .........../........../................
Details of observed damage to fields:
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Name of Applicant
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Farm Business ID
6 __ __ __ __ __
Position held within Farm Business (Must be person responsible for making 2016 SAF application)
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Address ..................................................................................................................................................
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Contact Telephone Number
Post Code
...............................
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NOTE: The applicant will need to present photographic identification and a recent utility bill before the cheque
can be released.
Is it likely that damage to land will constitute losses of at least £1,000? Yes/No (delete as appropriate)
Did your land flood for more than 14 days between 7 November 2015 and 31 January 2016?
Yes/No (delete as appropriate)
Was the land flooded within the listed townlands?
Yes/No (delete as appropriate)
Does this constitute more than 10% of your total land actively farmed by you?
Yes/No (delete as appropriate)
If Yes to the all of the above questions, please list field numbers affected in table below (this only include fields
within the criteria listed above, in particular those as part of the 2015 SAF application and should not include
fields within environmental designations or under environmental agreements. Farmers are reminded about
responsibilities to check with NIEA/DARD Countryside Management Unit before undertaking any work on such
areas.
Field Reference
Townland Name
Number
(See Annex E)
Total area farmed (Ha): ................Ha
Total area flooded (Ha) for 14 days or more: .....................Ha
Total percentage of flood damage: ___%
DARD will check eligibility of fields using internal systems and the extent and impact of flooding from
available satellite imagery, aerial photographs and site inspections, where deemed necessary.
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DECLARATION
I declare that the information provided in this application form is true and that I am not insured for the losses
incurred by the severe inconvenience experienced by my farm business due to flooding.
Print Name
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Signature
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Date
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NOTE: Under the National Fraud Initiative, the information given on this application form may be provided to
bodies responsible for auditing and administrating public funds for the purposes of preventing and detecting
fraud.
De Minimis Aid
There is a ceiling of €15,000 for all agricultural de minimis aid paid to any farmer
over a three fiscal year period and also an overall limit of €200,000 or all types of de
minimis aid provided to any single undertaking over a three fiscal year period (i.e.
your current fiscal year and previous two fiscal years).
Any aid provided to you under this scheme will be relevant if you wish to apply, or
have applied, for any other De minimis aid. The value of the aid under this scheme is
€127,259 / £100,000.
You will need to declare this amount to any other aid awarding body who requests
information from you on how much De minimis aid you have received. For the
purposes of the De minimis regulations, you must retain this letter for 10years from
the date on which the aid is granted and produce it on any request by the UK public
authorities or the European Commission. (You may need to keep this letter longer
than 10 years for other purposes)
Please advise us now of any other De minimis aid which your business and any
businesses linked to it may have received during your current and previous two fiscal
years, as we need to check that our support added to that previously received, will
not exceed these thresholds over the last 3 fiscal years. De Minimis Aid includes not
only grant but also assistance such as free or subsidised consultancy services,
marketing advice etc. If you are in any doubt about whether previous assistance
received classes as De minimis assistance please include it. Please sign the
attached statement confirming your eligibility for support.
Statement of De minimis aid received
I confirm that I have / have not received the following De minimis aid during the
previous 3 fiscal years (i.e. current fiscal year and the previous two fiscal years):
Body providing the
assistance/aid
Grant Received (£/€)
Date of assistance
Declaration
I acknowledge that if I fail to meet the Eligibility Requirements, I/we shall become
liable to pay the full price that would otherwise be payable in respect of the services
received.
Name
Signature
Date
For office Use Only
Has the farm business declared flooding within the townlands listed?
Yes/No (delete as appropriate)
If Yes, pass to DARD for field number eligibility check.
Council Official
Print Name
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Signature
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Date
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Has the farm business declared flooding in eligible fields?
Yes/No (delete as appropriate)
If Yes, was the area of flooding more than 10% or more of total land actively farmed?
appropriate)
Yes/No (delete as
DARD Official
Print Name
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Signature
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Date
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