ProcureLA - Intake Form
To apply for ProcureLA, please complete all the information below. Nonprofit organizations are not eligible. Please refer to the list business eligibility requirements here to confirm if you can proceed with the application.
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Email *
1. Applicant Information
First Name *
Last Name *
Phone Number *
2. Business Information
Business Name *
Business Address *
Please include street address, city, state, and zip code.
3. Registration Information
Council District Number *
Click here to view your council district number, or visit neighborhoodinfo.lacity.gov
15-Digit LA City Business Registration Tax Certificate Number *
Click here to look up your BTRC number. This site references your BTRC number as "Location Account #"
4. Application Questions
How were you referred to PACE? *
Is this a "brick and mortar" business?  Must be operating from a commercial location and have a valid commercial lease (home- based businesses are not eligible) *
How many years has your business been in operation? *
Please enter the business start date: *
MM
/
DD
/
YYYY
Is your business currently open? *
Is your business a for-profit or nonprofit business? *
What industry is your business in? *
Business Type *
How did your business experience change due to the COVID-19 pandemic? *
What was your 2023 annual revenue? *
5. General Information
Business Owner Name (First & Last)
(If different from information entered in Applicant Information above)
Phone Number
(If different from information entered in Applicant Information above)
Federal Tax ID Number *
DBA *
Preferred Language *
Age *
Do you have a disability as defined under the Disability Discrimination Act? *
The Americans with Disabilities Act defines an individual with a disability as a person who: 
  • Has a physical or mental impairment that substantially limits one or more major life activities
  • Has a record of such an impairment
  • Is regarded as having such an impairment
What is your gender? *
Please indicate your race. Select all that apply. *
Required
6. Procurement - Contracting Assistance
What types of procurement assistance do you wish to receive? Select all that apply. *
Required
Do you have a Capability Statement? *
Do you want Capability Statement development assistance?  *
What Small Business Certifications does your company possess? Select all that apply. *
Required
Have you been awarded any contracts from the government sector and/or private sector? *
Choose your awarded agency: Government/ Utility / Prime Contractor / Private Sector *
Required
I certify that, by submitting this application for review and consideration for ProcureLA, for or on behalf of my business entity, I have not intentionally provided any material misrepresentation and/or falsification of my eligibility to secure services under this Program. I certify under penalty of perjury that the submitted information is complete and accurate to the best of my knowledge. I also understand and certify that to participate in the ProcureLA program, my business was affected by the COVID-19 pandemic and grossed less than $7.5 million in 2021.
By checking this box, you agree to receive text messages from PACE regarding business resources. Message freq. varies but will not be more than 1 message per day unless there is a notification event. Msg & Data rates may apply. Reply HELP for help. Reply STOP to opt out. 

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes at any time.
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