If you are required to hold a certification or license to operate your business.
Not required for submission however it is required for payment. City will assist.
Identify the organization that issued your certification/ license.
Best number to reach you at
Briefly describe the financial impact of the Safer at Home order on your business as it relates to COVID-19 - 2500 character limit
If self-employed, enter 0 (zero)
Estimated loss in revenue in March, April, and May.
Please list what type of business you operate
I hereby certify that the data provided above is true and correct to greatest extent of my knowledge. I further certify that I understand and acknowledge the following:
This field is not part of the form submission.
* indicates a required field