Gloucester Business Improvement District Extenuating Circumstances Form

Business Name

Type of Business

Business Address

Name of Applicant

Email Address

Are you the main contact for the Business? If no please provide the name and contact details for the main contact Are you the main contact for the Business? If no please provide the name and contact details for the main contact Yes No

Name of main contact

BID levy payment days for consideration BID levy payment days for consideration October 2024 - September 2025 October 2023 - September 2024

If 'other' please state

Please describe, in as much details as possible, why you feel you have extenuating circumstances that should be considered relating to payment of the BID levy

Please tell us why your business circumstances differ from other BID levy payers

Please provide details of the financial impact paying the BID levy will have on your businesses ability to trade or invest

Consent - By submitting this form, you are agreeing to the terms and conditions & I understand this information will be shared with the Directors of Gloucester BID Consent - By submitting this form, you are agreeing to the terms and conditions & I understand this information will be shared with the Directors of Gloucester BID By submitting this form, you are agreeing to the terms and conditions above