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Please type the legally registered name of your corporation/business.
Only the registered owner, CEO, President or other authorized representative of the business may apply for this grant.
You must be a registered business in the City of Farmington. If not required to register due to non-profit status, provide another identifying number (EIN).
Click below to search for your business. A printout of your listing with "Good Standing" under "Entity Details" is sufficient.
Primary physical address of business operation.
*Please include address of headquarters if different from physical address.
*Total hours worked by all non-owner staff in the MONTH period prior to March 1 (February 1st-29th).
*Total hours worked by all non-owner staff in the MONTH period prior to application date (August 1st-31st).
If you don't have employees, please enter "N/A".
If you don't have employees, please submit a word file explaining the situation.
If you curtailed rather than closed your business, please describe the nature of the curtailment:
This field is not part of the form submission.
* indicates a required field