Delivery Rider E-bike Grant Survey

ZEN E-bike Switch

The E-bike Switch grant can provide £300 to help delivery riders purchase/ lease electric bikes.

Applicants must prove that they travel or make deliveries in Hackney, Islington or Tower Hamlets. Proof of using roads in these boroughs must be provided.

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* 1. Your Details

Name

Address

Postcode

Phone

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* 2. Do you own or lease a petrol moped/ motorbike?

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* 3. What business(es) do you deliver for?

Company 1

Company 2

Company 3

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* 4. How many days a week do you work as a delivery rider?

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* 5. On average, how many deliveries do you make each day?

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* 6. On average, how far do you ride each day?

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* 7. What will you use a £300 Scooter Switch grant for?

Hiring an e-bike

Buying an e-bike

Other (please specify)

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* 8. Please provide a quote of the e-bike you will purchase/ lease with ZEN funding.

This can be email quotes, website screenshots or proforma invoices.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. Upload proof you operate within the ZEN boroughs (Hackney, Islington and Tower Hamlets).

Proof provided must fall within the last 3 months. Accepted proof includes; screenshots of your delivery routes, receipts of deliveries, in app tracked journeys with name and date

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. Upload proof of your address

This can be any official document or letter, including: driving licence, utility bill, tenancy agreement, bank statement or other official document.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 11. If you currently own/lease a moped/motorbike upload proof of this.

This can be an insurance document, proof of purchase, lease agreement or any other resonable evidence

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Terms and Conditions

All successful applicants must:

· Agree to spend the grant within 2 months of receipt. Any funds that have not been spent after 2 months of receiving funding must be returned to the Zero Emissions Network.
· Provide proof of purchase or lease of an electric bike (3 high resolution photographs and partake in a case study).
· Agree to abide by the ‘Terms and Conditions’ of the ZEN Delivery Rider E-bike Grant

Please wait for the result of your application before purchasing any goods or services. No purchasing should be carried out until written confirmation of funding is received from The Zero Emissions Network.

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* 12. Do you agree to the above terms and conditions?

Yes

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* 13. Do you agree to receiving emails from the Zero Emissions Network?

Yes

We will use this data to assess your application. We will contact you within 7 working days to let you if you application has been successful.

Your data will be handled in line with Hackney Council's Privacy Statement, which can be found here: https://hackney.gov.uk/privacy