Bath & North East Somerset Council
Domestic Repair and Renew Grant application
Introduction
Contents
Please note that this application form is for domestic
claims only. If you are claiming as a business please
email regeneration@bathnes.gov.uk for an appropriate
form.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
The maximum grant that can be applied for is £5,000
(including VAT costs). Any costs incurred above £5,000
will need to be met from your own funds.
Before completing this form please ensure you read
through the associated guidance notes.
It should take you about 30 mins to fill in this form
If you are not sure about anything in this form, you can
contact us on 01225 39 4443 or email
DomesticFloodGrant@bathnes.gov.uk
Applicant information
Date of flooding
Property flooded information
Cause of flooding
Description of damage caused
Current or retrospective application
Resilience measures that you plan to install
Quotations
Retrospective application details
Alternative funding sources
When you expect to make a claim
Bank details
Checklist
Data Protection
Declaration
Next steps
1. Applicant information – this must be the person responsible for the fabric of the flooded property tenants will need to obtain written permission from their landlord in order to make any structural changes
to the property.
Title (Mr/Mrs/Ms etc)
Name of applicant
Address
Postcode
Telephone Number
Mobile
e-mail
2. Date of flooding
Date property was initially
flooded
(DD/ MM/ YYYY)
Date flooding ended
(DD/ MM/ YYYY)
3. Property flooded
Address of property that was flooded (if different from above), including postcode
Address
Postcode
1
4. Do you know the cause of the flooding?




River flooding
Highway drainage
Runoff from hills/ surrounding land
Other – please specify in the box below
5. Please briefly describe the primary damage that was caused
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Please supply any photos showing the flooding itself or the damage caused by flooding.
You will need to provide a copy of correspondence with your insurer confirming that property level
flooding took place at your property.
6. Is your grant application for
Resilience/ resistance measures that you will install in the future should your
grant be approved?
Yes/ No
For resilience/ resistance measures that you have already purchased and
installed following the flooding (retrospective application)?
Yes/ No
2
7. Resilience measures you are planning to install
Please indicate which of the available resilience/ resistance measures you intend to install or have
already installed (if a retrospective application), and cost (including VAT).
Three like for like quotes should be provided with your application to support the identified cost.
Alternatively, retrospective applications should answer question 9.
Please note - the maximum grant that can be applied for is £5,000 (including VAT costs). Any costs
incurred above £5,000 will need to be met from your own funds. The final value of the approved Grant
will be at the discretion of Bath & North East Somerset Council.
When selecting which measures you intend to install, please read the application guidance notes and
we strongly advise that you consider information available on reference websites such as
www.nationalfloodforum.org.uk/property-level-protection-community-tool/. The guidance will help you
select the appropriate resilience/ resistance measures for the nature of flooding in your area – not all
of the identified measures may be appropriate, and may make limited difference to protecting or
minimising the damage to your premises. Should you choose to seek professional advice prior to
making an application, you can retrospectively claim up to £500 of the cost as part of your application.
Resistance Measures
Demountable Door Guards
Demountable Window Guards
Airbrick Cover
Sewage Bung
Toilet Pan Seal
Sump Pump
Re-pointing external walls with
water resistant mortar
Waterproof external walls
Automatic Door Guards
Permanent flood door
Automatic Window Guards
Self-closing airbrick
Non-return valves 110 mm soil
waste pipe
NRV 40 mm utility waste pipe
NRV 12 mm overflow pipe
Garage/ Driveway Barrier
Professional advice on flood
resistance/ resilience
Cost
£s
Cost £s
Resilience Measures
Replace sand-cement screeds on solid
concrete slabs (with dense screed)
Replace chipboard flooring with treated
timber floorboards
Replace floor including joists with treated
timber to make water resilient
Replace timber floor with solid concrete
Raise floor above most likely flood level
Replace mineral insulation within walls with
closed cell insulation
Replace gypsum plaster with water resistant
material, such as lime
Install chemical damp-proof course below
joist level
Replace doors, windows, frames with waterresistant alternatives
Sceptic tank resistance or resilience
measures (such as isolation valves, venting
above flood level etc)
Mount boilers on wall
Move washing machine to first floor
Replace ovens with raised, build-under type
Move electrics well above likely flood level
Move service meters well above likely flood
level
Replace chipboard kitchen/ bathroom units
with plastic units
Flood Risk Report
Total Cost of Resilience/ Resistance Measures implementing
£
Total Amount of Grant Applying for if different (maximum £5,000 including VAT)
£
3
8. Details of quotations obtained for PROPOSED WORK
Three like for like quotes for the purchase and installation of the identified measures should be
included with your application. In special circumstances (to be agreed with Bath and North East
Somerset Council) one quotation may be acceptable. If you are only submitting one quotation
please use the space below to illustrate how you have ensured value for money.
9. RETROSPECTIVE applications only – If you are applying for works that have already been
undertaken, please briefly describe how you ensured value for money i.e. utilised insurance
company contractor, or sought quotes from a range of providers. Please ensure you include
evidence of quotes and invoices along with your application.
10. Alternative funding sources
Yes/ No
Have you received any alternative funding (such as previous grant funding or
insurance claim payment) for any of the resilience measures you are applying
to the grant fund for?
If yes, please specify and state why you are also seeking Repair and Renew Grant support.
11. When you expect to make a claim
Should your application be approved, please indicate the month you expect to make a grant
claim. You are reminded that grant claims can only be made once the installation has been fully
completed and contractors paid from your own funds.
4
12. Details of the financial account into which the grant should be paid
Please complete your bank/building society details below. Please note that grants will only be
paid into your account subsequent to resilience and/or resistance measures having been
installed, invoiced and paid for and evidence of such provided. Refer to the guidance notes for
details.
PAYEE NAME:
PAYEE ADDRESS:
TELEPHONE No.
MOB No.
E-MAIL ADDRESS:
YOUR BANK/BUILDING SOCIETY NAME:
YOUR BANK/BUILDING SOCIETY ADDRESS:
ACCOUNT NUMBER:
SORT CODE:
ROLL NUMBER (if applicable):
NAME: (print)
SIGNATURE:
5
13. Checklist
Your application should include:





A completed and signed application form
Copies of three quotes for planned resilience measures for proposed works
Any supporting photographs or other evidence of flooding
Copies/evidence of quotes and invoices for all retrospective applications
Any correspondence with your insurer regarding the property flooding
14. Data Protection
The information which you have provided will be used to enable Bath & North East Somerset
Council to assess and administer your claim for the Repair and Renew Grant. The information
will be secure, not used for any other purpose and will be kept no longer than necessary.
15. Declaration
To the best of my knowledge, the information in this form and all other information given in support of
this application are correct.
I confirm that I understand the purpose of this form and the reasons for the collection of my personal
data and that I agree to my personal data being used as stated.
I agree to inform Bath & North East Somerset Council immediately of any change of circumstance or
information that may affect this application.
In applying for this Domestic Repair and Renew Grant I agree that Bath & North East Somerset
Council may inspect my property to assess evidence of flood damage, and the installation of resilience
and/ or resistance measures.
Warning – if you knowingly or recklessly make a false statement to obtain grant for yourself, or
for/on behalf of anyone else, you risk prosecution and the recovery of all grant payments.
Your signature on this form indicates that you have read, understood and agree with the above
declaration.
Name: ………………………………………………………………………….
Signed: …………………………………….……………………………………
Date:
……………………………………..
16. Next steps
Please return this form together with all supporting documents to:
Repair and Renew Domestic claims
Highway Maintenance & Drainage Team
Lewis House
Manvers Street
Bath
BA1 1JG
Alternatively you can email your application (and all supporting documents) to:
DomesticFloodGrant@bathnes.gov.uk
6
If you need help completing this form email DomesticFloodGrant@bathnes.gov.uk or phone
01225 39 4443.
Please tell us if you have any communication needs such as requiring information in a different
language or alternative format (for example, in large print, in Braille or on CD).
What happens next?
Once we have received your form we will send you acknowledgment of receipt.
We will then consider your application for up to 28 days and will write to you with a decision of
approval or rejection.
If your claim is approved we will send you a pack including a Grant Claim Form and Contract (a
specimen copy of which is included in this application pack for your reference).
For Bath & North East Somerset Council use only
Date application received: (DD/MM/YYYY):
Comments/notes
Application form complete
Yes
No
…………………………………………………………..
Flooding date
Yes
No
…………………………………………………………..
Acknowledgment sent
Yes
No
…………………………………………………………..
Criteria checked
Yes
No
…………………………………………………………..
Measures checked
Yes
No
…………………………………………………………..
Approval issued
Yes
No
…………………………………………………………..
7