Marlborough Flood Support - Application and Assessment Form Survey

As part of the recovery efforts from the devastating floods that struck Marlborough in July 2021, Marlborough District Council is offering a limited amount of support to flood-affected businesses, to access relevant business advisory services. This support is administered on Council's behalf by Business Trust Marlborough and the Marlborough Chamber of Commerce.

The purpose of this funding is to provide advice that helps local businesses that have been negatively affected by the recent floods, to respond to the immediate impacts, and to remain solvent and sustainable as they do so.

Please complete this form if you think your business qualifies for this support. We will then contact you to obtain further information.

1.Business Details:(Required.)

Business Legal Name:

Trading Name (if different from above):

New Zealand Business Number:

Contact Person:

Role / position in company:

Physical Address:

Email:

Phone:

Website:

3.Company background

Please provide basic ‘snapshot’ information about your business - overview, core products / services, key locations, key customers / segments, key markets (local / overseas) etc.(Required.)

5.Is your business located in a flood-affected area?(Required.)

Yes - entirely

Yes - partially

6.How has your business been negatively affected by the recent floods in Marlborough?(Required.)

Threat to survival of the business

Very negative impact

Somewhat negative impact

7.What has been the impact of the flood event on your business?(Required.)

Other (please specify)

8.Is your business at risk of closure if the current situation persists?(Required.)

We are already closed, and won’t reopen

We are already closed, but could reopen

We could carry on for another month

We could carry on for another three months

We could carry on for another six months - 1 year

We are not at risk of closure

9.Have the recent floods affected your primary customers or markets?(Required.)

Yes

11.Do you have an advisor that you would like to work with, or do you need help finding one?(Required.)

12.Does your business have any resources which could potentially be used in your area (e.g. boat / jetty, tractor, earth-moving equipment, other transport resources)?(Required.)

Yes

13.If you answered "Yes" to Question 12, please specify the resources your business has available.