Annex 1 Forestry Commission Annual Claim Form

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Annex 1
Forestry Commission Annual Claim Form
Important: This Claim Form (all pages including this page) and any
applicable supporting documents (such as a new Agent Authority Form)
must be signed and returned using the enclosed self-addressed envelope, to
be received by 15 June 2015. To help you answer any questions we have
created an FAQ. Please see Annex 2.
If for any reason you are late in returning it, or fail to return it, your annual payment may
incur a penalty or be withheld completely for this year (2015).
If you want confirmation that your Claim Form has been received, please tick this
box:
Do not detach the slip below – Forestry Commission use only
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Claim Form Acknowledgement
GLOS Case Ref: PLEASE REFER TO LETTER RECEIVED
Agreement Ref: PLEASE REFER TO LETTER
RECEIVED
Property Name: PLEASE REFER TO LETTER RECEIVED SBI: PLEASE REFER TO LETTER RECEIVED
Your Claim Form was received by the Forestry Commission on the date shown below. This
acknowledgement only provides proof that your form has been received by the Forestry
Commission.
Recipient name and address
Forestry Commission date stamp
PLEASE REFER TO LETTER RECEIVED
Page 1
How to complete this form
Please complete this form by hand, using block letters and black ink throughout.
Please ensure that you complete all relevant sections of this form, including any applicable tick
boxes and that you sign and date it. Failure to complete and return the Claim Form in
time for it to be received by the 15 June deadline may result in a penalty to your
annual claim for this year.
If you require more space for any section please continue on a separate sheet, ensuring that
you add your Forestry Commission claim details as referenced below.
Section 1: Your claim details
GLOS Case Ref:
PLEASE REFER TO LETTER RECEIVED
Property Name:
PLEASE REFER TO LETTER RECEIVED
Agreement Ref:
PLEASE REFER TO LETTER RECEIVED
SBI:
PLEASE REFER TO LETTER RECEIVED
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This space is intentionally left blank for the reverse of the
acknowledgement
Do not write anything here
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Section 2: Receiving future updates
Email alerts highlight new information relevant to Grants and Regulations customers. If
you are interested in receiving these, please tick the box and provide your email
address below.
Recipient’s email address:
Section 3: Change(s) to your claim
If any of the details of your agreement have changed, e.g. you have been/will be
unable to carry out the management required or there has been a transfer in or out of
land which has not yet been notified to the Forestry Commission, please provide an
explanation in the box below.
Please use the box below as follows:

To explain why you have been/will be unable to carry out the management required.
Please include details of work areas affected.

To provide details of any transfers in/out of your agreement (e.g. details of the land, the
party the land was transferred to/from and the date of transfer). Please refer to the
Successor Form Operations Note 14 guidance on our Forestry Commission website.
http://www.forestry.gov.uk/forestry/infd-7tyffe

To provide details of any other changes.
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(Section 3 Continued)
Please record the number of continuation sheets used in the box. Please ensure that each sheet
includes your claim reference, signature and date.
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Section 4: Declarations
You must tick all the declarations in the table below.
If you are unable to tick all the declarations you should explain why in section 3, but
this may result in some or all of your payment being withheld.
I declare that:
a)
I have complied with and will continue to comply with the provisions of my
agreement and the rules of the scheme as set out in my contract and
supplements (if any) until my agreement ends. If following submission of this
claim form I am unable to fulfill the obligations of my agreement I will notify the
Forestry Commission.
b)
I accept the conditions of payment and understand that payment may be
withheld or recovered if it appears to the Forestry Commission that any of the
conditions have not been complied with or a false or misleading statement has
been made.
c)
As an agreement holder you must register on the online Rural Payments service.
Further details can be found at www.gov.uk/rural-payments

d)
As an agreement holder the land you manage must be fully registered. You can
check this using the maps the Rural Payments Agency send you.

e)
I confirm that I have registered on the new online Rural Payments service.
I confirm that all of the land details for the holding(s) that I manage,
including all land subject to a Common Agricultural Policy (CAP) agreement,
are correct at the date of submitting this declaration, or I have notified the
Rural Payments Agency of any corrections required via an RLE1 form.
The details I have provided on this form are correct and I accept full
responsibility for them.
Page 5
Section 5: Agent Authorisation (For completion by agents
only)
Please note that the Agent Authority Form has changed, therefore if you are
an agent acting on behalf of the agreement holder you will need to submit a
new Forestry Commission Agent Authority Form. The Agent Authority Form is
available from the Forestry Commission Grants and Regulations homepage
http://www.forestry.gov.uk/england-grants
You must tick all the declarations in the table below.
I declare that:
a)
b)

I am authorised to act as an Agreement Management Agent for this
agreement. I confirm that I have drawn to the attention of the beneficiary(s)
the conditions that apply to this claim and I have made the beneficiary(s)
aware that they are responsible for complying with those conditions.

I have enclosed a new Agent Authority Form.
As an agent you must register on the online Rural Payments service. Further
details can be found at www.gov.uk/rural-payments

I have registered on the new online Rural Payments service.
Page 6
Section 6: Signature and date
Please sign and date this Claim Form. This Claim Form must be signed by
either the agreement holder or by an agent who has written authority from
the named agreement holder (as per Section 5).
Signature
Name
Status (e.g. agent)
Agreement holder CRN (to
be completed on all Claim
Forms)
Agent CRN (to be completed
only when an agent has
signed this Claim Form)
Date
Section 7: Return document check
Note: Only agents need to complete section b) below.
Please confirm you have enclosed the following documents:
a)

I confirm that I have enclosed the completed Claim Form (Annex 1)
b)

I confirm that I have enclosed a new Agent Authority Form (agents only)
Please return the above documents in the enclosed self-addressed envelope.
Page 7
Warning
If you knowingly or recklessly make a false statement to obtain aid for
yourself or anyone else, you risk prosecution (which could result in
imprisonment, a fine or both), the loss of all aid paid to you under the
scheme(s) in respect of which you have made a commitment, and exclusion
from certain schemes for up to two years.
Using and sharing your information
The data controller is the Forestry Commission, 620 Bristol Business Park, Coldharbour Lane,
Bristol BS16 1EJ.
Your information will be stored and processed in accordance with the Data Protection Act 1998.
This Act gives you, as an individual, the right to know what data we hold on you, how we use it,
with whom we share it and to ensure that it is accurate.
We will use the data for administering and analysing agreements and claims under the English
Woodland Grant Scheme (EWGS), Woodland Grant Scheme 1, 2 and 3 (WGS), Farm Woodland
Premium Scheme (FWPS) and Farm Woodland Scheme (FWS), Felling Licence Agreements and
Forest Plans (England). We will circulate and discuss it, in confidence, with those persons or
organisations helping us to assess and monitor agreements and claims. Some information will
be shared with other grant distribution bodies and government departments, to enable them to
detect fraudulent applications, agreements and claims and to co-ordinate the processing of
complementary applications, agreements and claims. To do this, we may have to discuss
applications, agreements and claims with third parties or disclose information about funding
decisions.
Participation in the English Woodland Grant Scheme (EWGS), Woodland Grant Scheme (WGS),
Farm Woodland Premium Scheme (FWPS) and Farm Woodland Scheme (FWS) involves
expenditure of public money and is therefore a matter of public interest.
We, or our appointed agents, may use the name, address and other details on your application
form to contact you in connection with customer research aimed at improving the services that
we provide to you.
We will respect personal privacy while complying with access to information requests to the
extent necessary to enable the Forestry Commission to comply with its statutory obligations
under the Environmental Information Regulations 2004 and the Freedom of Information Act
2000.
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