Get Help After Storm Babet or Henk Flooding

Please note that grants are intended only to fund measures which improve the property’s resilience or resistance to flooding, over and above repairs that would normally be covered by insurance. More advice can be found on the Flood Guidance website
Name of Applicant

First name

Last name
Flooded Property Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Are You the Owner of the Property?
YesNo
Business Name (if applicable)
Contact Address (if different)

Please include postcode
Telephone Number
Mobile
Email

Information about the flooded property
Date of flood

Please input the date in the following format: DD/MM/YYYY
Is this the first flooding event? If no, please give us the year that the flooding occurred.
What materials are the walls made from? (Select all applicable)
StoneBrickConcreteTimberMetalOther
If Other selected, what material?
What materials are the floors made from? (Select all applicable)
StoneConcreteTimberOther
Does your property have a basement?
YesNo
How many floors does your property have? (Number only)
How high was the flood level in your property? (Approximate)

For retrospective applications only
Is your grant application for PFR work that you have already carried out (retrospective application)?
YesNo

If this is not a retrospective application, you do not need to complete the following section.
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. Evidence of quotes and invoices should please be included with your application. If you’ve done flood protection work on your property, a surveyor can complete a Flood Risk Report to tell insurers or buyers how the work affects the flood risk.
Have you received any alternative funding (such as previous grant funding or insurance claim payment) for any of the equipment you are applying for grant funding for?
YesNo
If yes, who did the grant come from, and in what year?

For applications for business premises only
Is your grant application for a business premises?
YesNo

If the application is not for a business premises, you do not need to complete this section.
Have you received any other public grant funding during the last three years? If so please specify what for and the amount received.
Who did the grant come from, and in what year?
Should your application be approved; please indicate the month you expect to make a grant claim. Grant claims can only be made once the installation has been fully completed [authorities may consider prepayments to assist applicants].

Declaration
- To the best of my knowledge, the information in this form and all other information given in support of this application is correct.
- I confirm that I understand the purpose of this form and the reasons for the collection of my / our personal data (to the extent that this form contains information which is personal data for the purposes to the Data Protection Act 1998) and that I agree to my/ our personal data being used as stated.
- I understand that my name and information contained within this form will be stored. This information will be used by Staffordshire County Council and potentially by other partners with statutory interests in flooding including the ‘Environment Agency’, ‘Severn Trent’, and approved PFR survey and installation companies. It may also be used by Staffordshire County Council, other government agencies and departments as well as your district/borough council for the purposes of administering the flood recovery framework.
- This information will not be shared publicly and will not be shared with any insurance related companies. We will not identify your property as having previously flooded with any public or private body not listed without your express consent.
- We may contact you to ask more questions about flooding in the future.
Yes
If any information changes, I will inform Staffordshire County Council immediately.
Warning – if you knowingly or recklessly make a false statement to obtain grant for yourself or anyone else you risk prosecution, and the recovery of all grant payments. By signing this form you are agreeing that you have read and agree with the above declaration.

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