Targeted Hardship Fund Application Form
(New applicants only)
Kia ora
So we can assess your Targeted Hardship Fund (THF) application as quickly as possible, please carefully read all information, including eligibility criteria, at CityRailLink.co.nz/targeted-hardship-fund
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 4.
Please note that applications under the THF are processed and administered by TSA Management.
You can send your application by:
Email: C3Hardship@tsamgt.com
Post: PO Box 26433, Epsom, Auckland 1344
Delivery/courier: Level 2, 29 Customs Street West, Auckland CBD 1010
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
OFFICIAL TRADING NAME (if different from above)
BENEFICIAL OWNER (if different from legal or registered owner)
EMAIL ADDRESS PHONE NUMBER
BUSINESS PHYSICAL ADDRESS
POSTAL ADDRESS (if different from above)
BUSINESS BANK ACCOUNT NUMBER
What is the legal status of your organisation?
n Company n Charitable Trust n Incorporated Society n Māori Trust n Other eg. community groups with no formal legal structure
Organisation registration number (eg. NZ Companies Registration/Charities Register number)
Application period
Tick all that apply.
Tranche 12 (01 April 2024 to 30 June 2024)
Tranche 13 (01 July 2024 to 30 September 2024)
Eligibility criteria
To be eligible for the THF your business must be immediately adjacent to, and impacted by, major and sustained CRL construction disruption.
What is the address of your leased premises?
To be eligible, your business must be in the C3 Affected Area.
Briefly outline how City Rail Link C3 construction has directly caused your business genuine financial hardship during the application period/s selected.
Small business
The Ministry of Business, Innovation and Employment defines a small business as having less than 20 fulltime equivalent employees. That same definition applies to the THF.
How many full-time equivalent employees does your business employ?
Lease details
What date did you begin operating this business at the premises?*
*To be eligible, you must have been operating this business in this location prior to 01 October 2019. Evidence required: Please provide a signed lease agreement, and any other applicable documents (such as rent reviews or lease renewals) and evidence of rent paid such as invoices or receipts.
What is your annual rental amount payable?
Include any fixed operating amount/s charged by your landlord.
Have you received any assistance, such as a rent decrease, from your landlord since 01 October 2019?
*CRL will take into account a business’ financial position. If no such assistance has been offered to date, CRL will seek a meaningful contribution towards the level of financial support offered to a successful applicant from their landlord -in line with CRL Sponsors’ high-level guidelines.
n Yes n No
If you answered yes to the above question, please detail the assistance provided from your landlord below.
*Please include when such support started, and for how long. Evidence required: Please attach any relevant supporting documentation.
Who is your current landlord?
What are their contact details?
Financial & legal viability
You are required to declare whether your business was financially and legally viable at the time that C3 construction officially started (01 October 2019). This includes all required statutory and regulatory approvals under the relevant laws, including planning, licensing, and building approvals.
Was your business financially viable at 01 October 2019?
n Yes n No
Is your business currently legally compliant?
n Yes n No
Are there any current legal proceedings being brought against your business?
n Yes n No
Is your business still operating?
n Yes n No
If you answered no to the above, what date did your business stop operating?
DATE
Declaration
I/We do solemnly and sincerely declare that the business in this application has suffered sustained City Rail Link disruption resulting in genuine financial hardship, and that the information contained in this application, together with all supporting information, is true and correct.
I/We do understand that my application may be subject to audit, and that action may be taken if deemed to be fraudulent.
I/We declare that the business has not been sold or changed majority ownership since 1 October 2019 or the date of the business’ last application to the Targeted Hardship Fund (whichever is the later).
DATE
SIGNATURE
Checklist
Please include the following supporting documents with your application.
n Completed Targeted Hardship Fund application form
n Recent bank statement within the last three months, or letter from bank confirming bank details
n Copy of signed lease covering period from 01 October 2019
n Copy of signed current lease
n Copy of signed rent review (if applicable)
n Evidence of rent paid e.g. invoices or statements from landlords, bank statements or rent receipts
For the business in this application, annual accounts or tax returns for the years ended:
n 2022/2023
n 2023/2024 (Profit & Loss statement and Balance Sheet)* *If final accounts are not available, a draft set will be accepted.
When your application is submitted you will receive an automatic confirmation email that your correspondence has been received by TSA Management. If you do not receive an email confirmation, please check to see if the email has been treated as spam.
If you need assistance please contact TSA Management at C3Hardship@tsamgt.com or phone 021 169 4149.