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City of Crestview
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Small Business Recovery Grant

  1. For assistance with this application process, please contact City Staff at
  2. Describe the financial impact of the Safer at Home order on your business as it relates to COVID-19
  3. Full-Time Equivalent
  4. Estimated loss in revenue in March, April, and May.
  5. For Profit Status
  6. Did you experience a mandatory closure?
  7. Did the Safer at Home order require a reduced schedule?
  8. If restaurant, did the business location have a drive-thru prior to the virus?
  9. Electronic Signature Agreement
    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; 1) That the City of Crestview reserves the right to verify the data provided above, 2) The City of Crestview will reject all requests that do not meet the requirements as provided in the City’s Grant Procedures, 3) This request will be processed in the order it was received and as quickly as reasonable, 4) The processing of the application does not guarantee any funding, 5) Any information found to be fraudulent may result in the refund of any funds paid based on the false information, 6) Businesses who fail to remain in operation for at lease 30 days following receipt of grant funding will be required to refund the grant funding to the City.
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  11. This field is not part of the form submission.