Apply now - Green BELLE

Phase 2 of Green BELLE is now open.

For general enquiries please use the contact form on our contact us page, instead of the form below.

If you already have an idea of what measure or measures you’d like to install, please fill out the Expression of Interest form below.

If you would like you more information on Green BELLE that you can’t find on this website, you are unsure of what to do next, or you would like to discuss options for which Green BELLE measures you could apply for a Green BELLE grant to install, please use the contact form or contact details on the contact us page, instead.

(To request a hardcopy version of this form, please use the details on our contact us page.)

Expression of Interest Form

SME Business Details

Contact name

Position within business

Name of business

Address

Postcode

Telephone/mobile number

Company registration number

Select your Local Authority:

Eligibility

Green BELLE is for Small and Medium-sized Enterprises (SMEs) in Leicester and Leicestershire that are trading business-to-business.

Please select the business sector that best describes your business' activity:

Please state if you selected other.

Green BELLE support is available to Small and Medium Enterprises (SMEs). To be defined as an SME, your business must meet all three criteria below:

Has fewer than 250 employees
Has an annual turnover that does not exceed €50 million or has an annual balance sheet that does not exceed €43 million
Is not more than 25% owned by an organisation that in itself is not an SME

Please tick to confirm that your business is an SME

Yes – My business is an SMENo – My business is not an SME

How did you hear about the project?

Has your business had an energy or environmental survey within the past year?

YesNo

If possible, please include who carried out the survey and the main findings.

Proposed Measure(s)

Please include details of the proposed measure or measures.

Please include:

The proposed measure(s)
The justification for the proposed measure(s)
The benefits this will bring to the business

How will the above measure(s) impact on your business' energy use?

De Minimis State Aid

The assistance you are being offered is being given under the European Commission’s State Aid regulations. This allows a company to receive up to €200,000 of De Minimis state aid over a rolling three year period. To confirm that you are able to receive this assistance you must therefore declare the full amount of De Minimis state aid you have already received over the last three fiscal years.

For more information, please see What is state aid? (opens in a new window / tab) on the GOV.UK website.

Please confirm, by ticking the box, that your business has not received state aid exceeding the value of €200,000 within the last three rolling years:

De Minimis State Aid is always calculated in Euros (€).

Please list any state aid that has been received in the past three rolling years, or tick the box below to confirm that you have not received any:

I have received no state aid (€0) within the last three rolling years:

Organisation providing the assistance/aid

Value of assistance (€)

Date of assistance

Nature of assistance

Confirmation

I certify that the information contained in this Expression of Interest form is correct to the best of my knowledge.

Name (in capitals)

Position

Date

Please check you have filled in all required fields correctly. If you need help filling in this form, please contact the Green BELLE team.