Covid-19 Grant
HOSPITALITY ACTION
Hospitality Action, 62 Britton Street, London EC1M 5UY, 0808 802 0282
© Hospitality Action | Registered Charity No.1101083 | Registered in England & Wales Company No.04914871
Confidential Application Form 2020
Covid-19 Grant
Please complete all the sections overleaf and enclose the supporting paperwork. Incomplete
applications will be responded to by e-mail but this will lead to a delay in processing which might mean
the funds are exhausted before your case can be considered.
Grant Scheme
Covid-19 Grants are for £250 per household.
This grant scheme will be paid out from the 27th March 2020 until funds are exhausted.
To be eligible you must be :
Currently working within the UK hospitality industry or have worked in the industry within the last
month and have savings of less than £1,000 per person or £2,000 for a family or couple (including
rolling bank balance). We do not take into account any income you receive from state benefits.
Application Process
To apply for the grant you need to:
Complete the short application form on the next two pages.
Provide us with evidence of your current or most recent employment within the hospitality
industry by sending us a copy of a full month’s bank statement for the previous month showing
your salary and name of employer.
Please attach a recent statement for all accounts (bank, building society, post office).
Please also send in any written evidence from your employer where you have either been made
redundant or had your hours or pay reduced as a direct result of the coronavirus.
Applications can be considered from the 23rd March 2020 until this fund is exhausted.
Applications are limited to one per household.
Please send your completed application to help@hospitalityaction.org.uk with the subject
heading: C-19 Grant
PLEASE DO NOT POST TO THE ADDRESS ABOVE AS WE MAY POSSIBLY HAVE TO CLOSE OUR OFFICE AND
WORK REMOTELY AND/OR ROYAL MAIL MAY NOT BE ABLE TO CONTINUE TO DELIVER POST TO US
1. Applicant details
Winter Fuel Grant
© Hospitality Action | Registered Charity No.1101083 | Registered in England & Wales Company No.04914871
Confidential
Title: First name: Surname:
Address: Telephone Number:
2. Household Details
3. Employment in the hospitality industry
Name of Company Your Job Date Started
Who shares your home with you? Apart from you please give details of all adults who live in your home
Please provide us with bank statement evidence of your current employment as without this
information we cannot process your application
Date of Birth: Annual Salary £ National Insurance No.
5. Bank Details - for account grant should be credited to (please use block capitals)
Bank Name:
Account Name:
Account Number:
Sort code:
Covid-19 Grant
HOSPITALITY ACTION
Hospitality Action, 62 Britton Street, London EC1M 5UY, 020 3004 5508
© Hospitality Action | Registered Charity No.1101083 | Registered in England & Wales Company No.04914871
Name Relationship to Please indicate if they are employed/in education or if other Annual Salary/Income
Name Relationship to you Age Name Relationship to you Age
Now give details of all children aged under 16 in full time primary or secondary education
4. How did you hear about the scheme ______________________________________________________
6. Declaration
Please read this section carefully and sign to confirm that you understand the statement.
All the information provided in the application form is true and correct and full disclosure of all income, capital,
savings and investments has been made.
I /we will inform Hospitality Action of any change in circumstances that I/we may have during the application
process.
Any false or misleading information can result in the withdrawal or repayment of any grant that may be
awarded.
I/we consent to the collection, processing and dissemination of this information by Hospitality Action in line
with the General Data Protection Regulation (GDPR) (EU) 2016/679 and to its storage in both paper and digital
format.
Signed ………………………………………………………………… (applicant) ……………………………………………………..(partner)
Date ………………………………………………………... Address ………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………...Post Code ………………………………………………………...
Additional Information
Applications are limited to one per household and cannot be processed until evidence of your employment and
change in work circumstances due to Covid-19 has been received.
Where a grant is awarded it will be for £250 per household and will be paid by direct bank transfer into the
account detailed in Section 4.
There is a limited amount in the Covid-19 Grants fund and once it has been exhausted no further awards can be
made.
Please return your completed application via help@hospitalityaction.org.uk with the subject heading:
C-19 Grant
If you have any further questions please don't hesitate to contact us on 0808 802 0282 .
For Office Use Only
HA Ref: Date Received .
Proof of Work seen:.
Approved By:  Amount:  Payment Date: .
By signing the application form you are confirming that the following apply to you:
I currently work within the UK hospitality industry or have worked in the industry within the
last month
I have savings of less than £1,000 for an individual or £2,000 for a couple or family (including
rolling bank balance).
I have lost or had income reduced as a direct result of Covid-19
5. Eligibility
Additional Information
Please tell us about any extenuating circumstances or particularly difficult situation you think we should be
aware of when processing your request.
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