Local Body Partnership (LBP) – Expression of Interest Form

Personal Details (of the applicant on behalf of the community)

First Name / Click here to enter text.
Surname / Click here to enter text.
Full Address / Click here to enter text.
Click here to enter text.
Click here to enter text.
Postcode / Click here to enter text.
Telephone (Landline) / Click here to enter text.
Mobile Number / Click here to enter text.
E-mail Address / Click here to enter text.

Select your situation:

☐ I represent a community who is interested in improving our broadband

☐ I represent a school interested in getting superfast broadband

☐ I represent a business park whose businesses are interested in improving our broadband

☐ I am an individual looking for help on getting better broadband

☐ I am a developer interested in getting fibre broadband for my development

☐ I am a communications provider interested in fibre broadband products

Funding

Has the required community funding been secured?

☐ Yes

☐ No

Source of Funding

☐ Private e.g. residents, fundraising etc.

☐ Public e.g. Parish Council funds or public grant funding

Please note, only private funding can be used as a community contribution for LBP.

Community Fibre Partnership Quote

Please provide the reference number for your Community Fibre Partnership quote.

Reference No. / Click here to enter text.

Disclaimer

Please note that any agreement entered into is in line with Openreach Terms and conditions supplied to you with your quote.

The council does not have the ability to influence expected timescales, the technical solution or quote amount provided by Openreach; neither do the council have control over supplier service charges or monthly subscription charges.

By undertaking a Local Body Partnership the community recognises that if the anticipated cost is below that quoted by Openreach, Worcestershire County Council will retain the 'underspend'; conversely, Worcestershire County Council accepts the risk that if estimated costs increase the Superfast Worcestershire Programme will accept the full additional costs up to the maximum limits of the LBP scheme (£80,000 per community), at which point they will discuss this with the community.

Potential Future Deployment

Communities understand that once they commit to a Community Fibre Partnership / Local Body Partnership Scheme, they will no longer be considered for deployment as part of the main programme, unless their process is not completed.

☐ I understand and agree that once my community has signed the CFP/LBP agreement, the community will not be considered for future deployment.

☐ I also confirm that I, as the Community Lead, have made my community aware of the above statement.

Full Name / Click here to enter text.
Position in CFP or Business / Click here to enter text.
Signature / Click here to enter text.
Date / Click here to enter text.

Next Steps

Your details need to be passed on to BT/Openreach who will contact you to discuss your needs. If you are happy for this to happen tick the two boxes below. Please note, your data will not be used for marketing or any other purposes.

I agree to this information being shared with BT/Openreach

☐ Yes I agree

I agree to being contacted by the Openreach CFP team

☐ Yes I agree

Please email completed form to