CITY OF FIREBAUGH MICRO BUSINESS PROGRAM

GRANT APPLICATION

  • APPLICATION INSTRUCTIONS

    We will provide a full description as soon as we determine the due date of application with the City of Firebaugh. We will provide general instructions on application submission. Please keep this text as a place holder at the moment.
  • BUSINESS INFORMATION

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • BUSINESS OWNER CONTACT INFORMATION

  • REQUIRED DOCUMENTATION

  • PLEASE BE PREPARED TO FAX THE FOLLOWING REQUIRED DOCUMENTATION AS PART OF YOUR GRANT APPLICATION TO 559.230.4045. YOU WILL ALSO BE ABLE TO PROVIDE DOCUMENTS TO ASSIGNED FIREBAUGH CITY HALL STAFF FOR SUPPORT WITH PROVIDING DOCUMENTATION.
    • Business Income Verification
    • Copy of Driver’s License
    • Legal Documentation Reflecting Authority to Sign on Behalf of Applicant Business
    • Profit & Loss Statement Documenting Owner’s Net Operating Income
    • Proof or registration on WWW.SAM.GOV
    • W-9 Form
  • ONLINE APPLICATION CERTIFICATION

    By submitting this application, I certify that this information is complete and accurate to the best of my knowledge. I agree to provide by request, documentation on all income sources to HCD or Program Administrator. I understand that if a "duplication of benefits" is later found, I may be required to pay these funds back.

  • Date Format: MM slash DD slash YYYY