Last updated:
23 October 2017

Apply for a voluntary transport grant

  • This form will take approximately 60 minutes to complete.
  • Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.
  • The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.

Details of your organisation

Enter the name of your organisation.
Enter your charity or company registration number.

Organisation address

Enter the address name or number. This could a flat, house or building name or number.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the postcode, with or without spaces.

Contact details

Enter the contact's first and last name.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.
Enter another phone number we can reach you on. This can be a mobile or land line number.

About your service

Select all that apply for your organisation.







Select all that apply for your organisation.






Enter details of villages, parishes, towns or districts that your organisation covers.
Enter details of your organisation's opening times as accurately as possible. Do not specify ‘at anytime’ unless the service is regularly operated for seven days each week and 24 hours each day.
Enter group details based on an average week.
Enter passenger details based on an average week.
Enter details of all vehicles including minibuses (state if wheelchair accessible), volunteer cars, wheelchairs and scooters.
Select 'Yes' or 'No' as your answer.


Select 'Yes' or 'No' as your answer. (For the purposes of this form, this is any paid member of staff who takes full responsibility for the scheme).


Enter full time details below.
Enter part time details below.
Enter details below.
Select 'Yes' or 'No' as your answer.


Financial information

Enter details of funding, including amounts where possible.
Enter details of reserves, including the amount and the reason for holding them.
Enter amount below.
Enter details below.
Attach supporting documents.
Attach supporting documents.
Attach supporting documents.
Attach supporting documents.
Attach any other documents to support your application.

Disclaimer

This authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes.

Enter your full name to show you agree to the above statement.

To send your form to us press the 'Submit' button once.

After a few moments you will see our 'Thank you' page. If you do not see the 'Thank you' page we will not have received your form.

 

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