MASON COUNTY MICRO-BUSINESS RELIEF GRANT

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Industry Sector *
 
Amount of Grant Funding Being Requested. The grant maximum amount is $5,000 per business. These funds require proof of expense and payment. If selected, you will be asked to submit receipts and invoices before funding will be released. *

BUSINESS BACKGROUND

Was the business closed due to the Governor's Directive? *
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What is the likelihood of the business permanently closing? *

DOCUMENTATION OF EXPENSES

Allowable Expenses: Funding can be used towards traditional SRF expenses, such as consulting, marketing, and training. In addition, this emergency grant can be used towards operational expenses, such as rent, supplies/inventory, utility bills, etc. Operating expenses are eligible for reimbursement. Please consult with Commerce if an expense is not on this list.

Unallowable Expenses: Payroll cannot be reimbursed via this grant program. Please direct all payroll needs to Employment Security Department. The following expenses are not eligible: capitalized equipment, travel, office equipment, and computer software.

Expense Breakdown *
 Date of ExpenseMerchant NameAmount
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INCOME/EMPLOYMENT INFORMATION

Benefits Included in Salary *
Is the businesses' LNI account current? *

ADDITION INFORMATION

Currently, is the business facing any pending litigation or legal action? *
Has the business had any state compliance/regulatory issues within Washington or another state in which the business operated? *
I certify that by signing this document, the business: is not a franchise or chain; is not engaged in any activity that is illegal under federal, state, or local law; the applicant or any owner is not presently suspended, debarred, proposed for debarment, declared ineligible, voluntarily excluded from participation in this transaction by any Federal department or agency, or presently involved in any bankruptcy; and that all information and supporting documentation is true and accurate. *
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