Targeted Hardship Fund Re-Application Form Kia ora So we can assess your Targeted Hardship Fund (the Fund) application for the next quarter as quickly as possible, please carefully read all information, including eligibility criteria, at CityRailLink.co.nz/targetedhardshipfund Please make sure to read this document carefully and answer honestly. All applications must be submitted using this form and include supporting documents as listed on page 3. Please note that applications under the Fund are processed and administered by specialist third-party project managers TSA Management. You can send your application by: Email: Post: Delivery/courier:
C3Hardship@tsamgt.com PO Box 26433, Epsom, Auckland 1344 Level 2, 88 Broadway, Newmarket, 1023
If you have any questions please contact TSA Management at C3Hardship@tsamgt.com or phone 021 169 4149.
Applicant contact details FIRST NAME LAST NAME BUSINESS NAME
Eligibility criteria To be eligible for the Fund your business must be immediately adjacent to, and impacted by, major and sustained CRL construction disruption.
Has the address of your leased premises changed since you applied for the Fund last quarter? To be eligible, your business must be in the C3 Affected Area.
n Yes n No If you answered yes to the above question, please provide the new business address and date that your business moved.
Has your annual rental amount payable and/or OPEX changed since you applied for the Fund last quarter?
n Yes n No Evidence required: If you answered yes to the above question, please attach relevant supporting documentation.
1 | Targeted Hardship Fund Re-application form