BEIS0000914
BEIS0000914
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Departhfaist Hye
Business & Trade
Horizon Convictions Redress Scheme
Fixed Settlement Application Form
You should only complete this form once you have received confirmation that you are
eligible for the Horizon Convictions Redress Scheme.
Before completing this application form, please ensure that you have fully read the
guidance on your options for redress: https://www.gov.uk/guidance/horizon-convictions-
redress-scheme-hcrs-applying-for-financial-redress. You are also strongly encouraged to
seek legal advice before making a final decision on which redress route to take and the
Department for Business and Trade will cover your reasonable legal fees for this. More
information on how to find a solicitor and the contact details of legal firms who have
committed to work within Department's costs framework can be found here:
https://www.gov.uk/guidance/horizon-convictions-redress-scheme-hcrs-applying-for-
financial-redress.
This is the form if you are choosing the fixed settlement of £600,000. If you apply for the
£600,000 optional fixed settlement, you cannot request a detailed assessment at a
later stage.
Applicant full name
The applicant is the person who was
previously convicted.
Scheme Unique Reference Number
(URN)
Your URN is on the letter informing you
that your conviction has quashed. If
you have not received a letter, you will
need to register for the scheme to
receive your URN.
Please confirm you are choosing to Signature:
take the £600,000 fixed settlement
offer route and that you understand
that submitting this form means you will
no longer be eligible to request a Name:
detailed assessment.
Date:
Submission of application
After you have submitted this form, we will send you a settlement agreement to close your
application.
BEIS0000914
BEIS0000914
cad OFFICIAL-
DeparthiSst tye
Business & Trade