NETWORK SUPPORT GRANT - COMMUNITY TRANSPORT

PRE APPLICATION ELIGIBILITY CHECK

This form requires to be completed for organisations who run services under Section 19 and Section 22 of the Transport Act 1985.

For those organisations claiming under Section 19, please complete all relevant parts below and sign the attached declaration

For those organisations claiming under Section 22 please tick the relevant box below and sign the attached declaration

This template must be completed to register your interest and confirm eligibility to apply for Network Support Grant (NSG) Community Transport.

We will issue you with a grant application at the appropriate time.

Section 19

If you consider you provide eligible services to qualify to receive NSG Community Transport through Section 19 of the Transport Act 1985, please indicate under which categories you wish to apply by ticking the appropriate box(es) below (you may be eligible in more than one category).

Please also give a broad estimate of the proportion or percentage of persons carried, in terms of your overall business, for each category stated at the top of the third page. If any of the categories you have ticked below are not detailed in the literature you provide with your application, then you must confirm these details separately, i.e. rough numbers carried, to where, and how often. If you are claiming under category (e) please read the respective notes carefully.

a) persons who have attained the age of 60 years;

b) disabled persons;

c) persons in receipt of income support under section 124 of the Social Security Contributions and Benefits Act 1992;

d) persons in receipt of jobseeker's allowance under the Jobseekers Act 1995;

dd) persons in receipt of employment and support allowance payable under Part 1 of the Welfare Reform Act 2007.

(e) persons suffering a degree of social exclusion by virtue of unemployment, poverty or other economic factors, homelessness, geographical remoteness, ill health, or religious or cultural mores. Please specify below which of the sub-categories in (e) above are relevant to your organisation and provide supporting documents/information. If the persons you have listed under this sub-category do not include either, persons in category (a) or (b), and you are claiming for homelessness, geographical remoteness (the inclusion of a map indicating the pick up points would greatly assist in assessing this sub-category), ill health, or religious or cultural mores, then you must explain fully the circumstances of the persons under each sub-category, i.e. what is the purpose of the journey and how often it is undertaken. Unless we receive sufficient background information on each sub-category, you will not be eligible to claim until we are satisfied either that, you have provided enough information and are allowed to claim for this sub-category, or we have decided that you are not eligible to claim under the particular sub-category.

f) persons who believe that it would be unsafe for them to use any public passenger transport services. Please briefly explain below the circumstances under which the persons you are providing services for consider it would be unsafe for them to use any public passenger transport services.

g) carers or persons under 16 years of age accompanying any of the foregoing.

Estimate of carriage:

Proportion or percentage of persons carried under category (a) =

Proportion or percentage of persons carried under category (b) =

Proportion or percentage of persons carried under category (c) =

Proportion or percentage of persons carried under category (d) =

Proportion or percentage of persons carried under each of the sub-categories included under (e) =

Proportion or percentage of persons carried under category (f) =

Proportion or percentage of persons carried under category (g) =

Section 22

If you consider you provide eligible services to qualify to receive NSG Community Transport through Section 22 of the Transport Act 1985, please tick the box below

My organisation wishes to claim NSG Community Transport under Section 22 of the Transport Act 1985 (services available to the general public on a not for profit basis)

Declaration (to be completed in all cases)

My organisation provides certain services that are used wholly or mainly by persons in the categories ticked above and with respect to which the organisation wishes to apply for Network Support Grant Community Transport.

I declare that the details supplied above are accurate and correct to the best of my knowledge as at the time of completion.

ORGANISATION NAME……………………………………………………………..

JOB TITLE / POSITION: …………………………………………………………….

FULL NAME: ……………………………………………...…………………………..

SIGNED: ……………………………………………………….……………………...

DATE: ……………………………………………………………..…………………...

E-mail address (if applicable )……………………………………………………..

Postal address (including post code)

I have attached a copy (copies) of my organisation’s Section 19/Section 22 permit (permits and any other information) in support of my application.

Please email this template and any attachments to schemesandgrants@transport.gov.scot as well as any further queries.

The general terms and conditions in respect of any award of NSG Community Transport are in the NSG Guidance on the Transport Scotland website, https://www.transport.gov.scot/public-transport/buses/

Specific terms and conditions for section 19 will be posted onto the webpages shortly.