Ient Services, SFE Payments Team, Bridge House, 152 Pilgrim Street, Newcastle, NE1 6SN Provider name, address and contract number Email address of Provider Claim details Please give details of any other addresses associated with this contract I am solely responsible for payment of this demand Y/N Name If no, please give details of all those responsible and percentages Contract Number Percentage of bill For information on Small Business Rate Relief (SBRR), you can visit the Valuation Office.
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How to fill out the Application For Non-Domestic Rates Payment Under The NHSBSA online
Filling out the Application For Non-Domestic Rates Payment Under The NHSBSA is a critical step for organizations seeking reimbursement for business rates. This guide provides detailed instructions on how to complete the form online, ensuring a smooth and efficient application process.
Follow the steps to complete your application seamlessly.
- Press the ‘Get Form’ button to access the application form and open it in the appropriate editor.
- Fill in the provider name, address, and contract number in the designated fields to identify your establishment and its details.
- Enter the email address of the provider to facilitate communication regarding the application.
- In the claim details section, list any other addresses associated with the contract, ensuring all relevant locations are included.
- Indicate whether you are solely responsible for the payment of the demand by selecting 'Yes' or 'No'. If 'No', provide details of all responsible parties along with their corresponding payment percentages.
- Input the contract number into the appropriate field, ensuring accuracy for processing.
- Detail the percentage of the bill that will be covered by each responsible party, providing a clear breakdown of responsibilities.
- For small business rate relief (SBRR), indicate if it has been claimed for the property. If not, specify the reason, selecting from the provided options.
- Provide the rateable value of the property, confirming its status for the claims process.
- Complete the NHS percentage field, detailing the portion of gross income from the provision of dental services that comes from NHS treatments.
- Enter the value of the council demand in the specified field to outline the financial support requested.
- Select how you wish to receive your reimbursement, choosing from one lump sum, first half of the year, second half of the year, or monthly installments.
- Gather and attach supporting documents as required, like previous year's evidence, a copy of the demand notice, and receipts for payment options.
- Affirm the provider's declaration by signing and dating the form, ensuring all information is accurate and verifiable.
- Once all sections are complete, save the form, and then download, print, or share it as necessary.
Complete your application online today to ensure prompt processing of your reimbursement request.
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