PLYMOTION TRAVEL GRANT APPLICATION
FORM
Contact details
Name of organisation: Click here to enter text.
Address: Click here to enter text.
Postcode: Click here to enter text.
Name of applicant: Click here to enter text.
Job title: Click here to enter text.
Telephone: Click here to enter text.
Email: Click here to enter text.
About your organisation*:
Total number of staff on site: Click here to enter text.
Number of car parking spaces on site: Click here to enter text.
Number of dedicated car sharing spaces: Click here to enter text.
Number of cycle parking spaces (covered): Click here to enter text.
Number of cycle parking spaces (uncovered): Click here to enter text.
Are showers available for staff?
☐ Yes
☐ No
☐ Yes
☐ No
If yes, how many?
Are lockers available for staff?
If yes, how many?
* If your company has more than one site please provide details of the site where the facilities /
initiatives will be delivered. Please note: Only one application per company will be accepted.
Travel facilities
Does your organisation (please tick all relevant boxes):
☐
Display travel options on your website?
☐
Have bus services nearby?
☐
Have cycle parking for staff?
☐
Have cycle parking for visitors?
☐
Offer mileage allowance for business cycling?
☐
Charge for car parking?
Version and date
OFFICIAL or OFFICIAL: SENSITIVE
PLYMOUTH CITY COUNCIL
☐
Offer a scheme to support staff purchasing a bike?
☐
Offer a scheme to support staff to purchase a bus or train pass?
☐
Have pool cars for staff to use?
☐
Have pool bikes for staff to use?
Details of initiatives or facilities match funding is sought for
Total cost of initiative/facility at time of application:
Amount of contribution sought from Plymouth City Council:
☐ 25%
☐ 50%
☐ 75%
Please give full details of the initiatives (including timescales or staff involved), or the facilities
(including plans/drawings and quotes) you are seeking funding for, and how you intend to continue
supporting sustainable travel at your organisation.
Click here to enter text.
PLYMOTION TRAVEL GRANT APPLICATION FORM
Page 2 of 6
PLYMOUTH CITY COUNCIL
Modes of travel supported by the proposed facilities / initiatives
Please tick all that apply to indicate which modes of travel your proposed facilities / initiatives support:
☐
Walking
☐
Bus
☐
Car share
☐
Cycling
☐
Other, please state
Sustainable Travel
Does your organisation have a:
☐ Sustainable Travel Policy
☐ Workplace Travel Plan
Plymouth City Council is able to offer support in either writing or updating a Workplace Travel Plan.
Would you be interested in accessing this support?
☐ Yes
☐ No
Does your organisation currently promote sustainable travel?
☐ Yes
☐ No
If yes, please explain how you do so:
Click here to enter text.
Availability
Please tick to indicate who the new facilities or initiatives will be available to:
☐ All employees
☐ Customers
☐ Visitors
☐ Community groups / wider public
Delivery
Successful bids will need to be delivered and invoiced for payment between April and December
2017.
Do you agree that you will be able to deliver your proposed facilities or initiatives within this
timescale?
☐ Yes
☐ No
PLYMOTION TRAVEL GRANT APPLICATION FORM
Page 3 of 6
PLYMOUTH CITY COUNCIL
Publicity
Successful organisations will be required to take part in reasonable publicity requests, acknowledging
the funding from Plymouth City Council and the Department for Transport.
Do you agree to details of your proposal being used in publicity to promote the match funding
scheme?
☐ Yes
☐ No
Plymotion at Your Workplace Programme
The Plymotion at Your Workplace programme includes as a minimum a personalised travel planning
session. This involves a team of trained travel advisors meeting with employees to discuss their travel
needs and investigating travel options for work and leisure, allowing people to consider all their
available travel choices, and be better informed about the lowest cost, quickest or healthiest options.
More information about what a Plymotion at Your Workplace travel planning session involves is
available at www.plymouth.gov.uk/atyourworkplace
Do you agree to engage with the Plymotion at Your Workplace programme in 2017/2018?
☐ Yes
☐ No
Supporting Documents
You must submit the following documents with this completed application form:

Copies of 3 quotes you have obtained for the facilities you are looking to deliver and / or
information on the initiatives you are intending to provide using the funding. These must be
written itemised quotes for your site. We are unable to accept quotes direct from a catalogue.

Copies of any relevant diagrams (where you intend to install facilities)
Under EC regulation No 1407/2013 (de minimis aid regulation), this is a de minimis aid. There is a
ceiling of €200,000 for all de minimis aid provided to any one firm over a 3-year period. The sterling
equivalent is calculated using the Commission exchange rate applicable on the written date of offer of
the de minimis funding. Any de minimis aid awarded to you under this offer letter will be relevant if
you wish to apply, or have applied, for any other de minimis aid. For the purposes of the de minimis
regulation, you must retain this letter for 3 years from the date on this letter and produce it on any
request by the UK public authorities or the European Commission. (You may need to keep this letter
for longer than three years for other purposes.)
PLYMOTION TRAVEL GRANT APPLICATION FORM
Page 4 of 6
PLYMOUTH CITY COUNCIL
Sign off
By signing this application form, you confirm that the information you have provided is correct and
you will comply with the terms and conditions attached to this application form.
We wish to apply for match funding to improve our sustainable travel facilities and / or deliver a
sustainable travel initiative (details as above). We agree to the terms and conditions stated below and
understand that payment of the grant will be dependent on the successful outcome of the Council’s
bid to the Department For Transport’s Access Fund:
Application approved by (must be senior manager)
Full name:
Job title: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
Please return completed application forms to:
Email: [email protected]
Post: Andrew Thomson, Plymouth City Council, Ballard House, West Hoe Road, Plymouth, PL1 3BJ
TERMS AND CONDITIONS:
1. Plymouth City Council is not obliged to accept any bid for funding and may reject any application at its
reasonable discretion.
2. Plymouth City Council will contribute the agreed percentage of the cost of the works. The
contribution is based on the cost of works excluding VAT (non-budgeted expenses will not be
considered). The organisation will be responsible for payment of VAT and shall indemnify the council if
HMRC makes any demand from the council for VAT in respect of the funding provided to the
organisation or the works.
3. The organisation is required to arrange and pay for the works, then invoice PCC for the match funding
agreed.
4. Payment will only be made on receipt of proof of payment and if the scheme is delivered between May
and December 2017.
5. Plymouth City Council cannot provide funding for facilities required through the planning application
process, or which are required as part of a compulsory travel plan or transport statement; however,
we can fund enhancements to required facilities. [It is your responsibility to check with the Local
Planning Authority whether permission is required for your facilities.]
6. The organisation will be required to provide Plymouth City Council with pictures of facilities once in
use and take part in reasonable publicity requests, acknowledging the funding from Plymouth City
Council and the Department for Transport
7. The organisation retains full ownership of any equipment, and will
7.1. Maintain all goods purchased with the Grant for at least five (5) years from the date goods were
purchased, and;
7.2. Not sell or dispose of any equipment or other assets purchased with funding from the Grant
within five (5) years from receiving the Grant.
8. Cycle parking guidance must be adhered to in order to ensure an appropriate location and design
(Plymouth City Council can be contacted for advice/guidance. Email: [email protected] ).
PLYMOTION TRAVEL GRANT APPLICATION FORM
Page 5 of 6
PLYMOUTH CITY COUNCIL
9. A senior manager is required to authorise this application form, and it will act as a contract to commit
to your support to promote to sustainable transport.
10. With Plymouth City Council’s support, this commitment should include promoting sustainable
transport through your own travel information, disseminating information provided by PCC, carrying
out surveys to assess changes in the way people are travelling (and share this information with
Plymouth City Council) and taking part in events (e.g. Devon Car Free Day).
11. The applicant shall:
11.1. Keep all financial records and accounts including receipts for items purchased with the Grant for
at least five (5) years from the end of the financial year in which the transaction took place, and;
11.2. Cooperate with the Council in the evaluation and / or monitoring the project.
PLYMOTION TRAVEL GRANT APPLICATION FORM
Page 6 of 6