Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697646864567.pdf (Bahamas)
MINISTRY OF FINANCE APPLICATION FORM FOR COMPENSATION ROAD WORKS PROGRAM Eligibility of businesses for benefits under the programme will be contingent on evidence that the subject business was in operation during the period of the road works and located on a corridor impacted by full or partial road closure.
The Ministry of Finance will issue a Certificate of Enrollment to qualified/ eligible applicants within 10 working days of the receipt of the application form, indicating the nature and extent of assistance which will be provided.

This Certificate should be presented to the Government Agency (Bahamas Electricity Corp., Bahamas Customs Department, Bahamas Development Bank, Business Licence/ Real Property, Bahamas Broadcasting Corp.) before accessing assistance provided under any component of the plan.
One form should be completed for each business.

*Please attach: • Copy of Identification Page of Passport (E-Passport) or the first four pages of the Passport (traditional) • Copy of National Insurance Card • Proof that Business is or was in Operation at the time (i.e.

Business Licence or Utility Bill) • Copy of Real Property Bill • In the case where the business has more than one location, affected by the roadworks on a separate sheet please list the branch street location, B.E.C.
ID and Real Property Assessment number if applicable.

Applicant Information Name: _____________________________________________________ Home Address: ____________________________________________________, P.O.
Box: ___________ National Insurance# _______________________ Passport #: _______________________ Telephone Contact: Home# _______________________, Cell# _______________________ Work#_______________________ , E mail Address: _______________________ Business Information Name of Business: _____________________________________________________ Nature of Business _____________________________________________________ Sole Proprietorship Partnership Company Business Street Address: ____________________ P.O.
Box#: ________________________ Business Telephone Contact #: _______________________ Business Email address: _______________________ Business National Insurance #: ___________________ Is Business operating presently?

Yes No , if no state closure date _______________________ Business Licence Registration #_____________________ Do you own property?

Yes ________________________ No if yes please provide Real Property Assessment # Bahamas Electricity Corp.

Customer I.D.
Customer I.D.

# _________________________________ Bahamas Electricity Corp.

Location I.D.# _________________________________ DECLARATION BY OWNER I hereby declare that the information given in this application by me is true, correct and complete in every respect and that I am fully aware of the penalty for making a false declaration in an effort to obtain Compensation from the Road Work Relief Plan.

owner/representative of do Owner Signature: _______________________ Date: _______________________