Walhalla Small Business Retention Grant
This program is open to small businesses with 25 employees or under with a physical location within the City of Walhalla, (priority is for businesses that have frequent and/or close contact with customers.
These types of businesses include: retail (storefront), restaurant/food business, personal care
(barbershop, nail salons, etc.) event venues, hotels, daycares, etc.) This excludes franchises, at-home businesses, independent contractors, insurance and real estate companies.

Checks will be mailed to qualifying businesses on a monthly basis as the health and economic crisis continues and as funds are available. Businesses may be required to give monthly feedback on their status to remain qualified for assistance.

Please note that any assistance amount over $600 will be considered income and require us to send you a 1099 tax form.
First Name *
Your answer
Last Name *
Your answer
Legal Name of Business *
Your answer
Type of Business *
Your answer
Employer Identification Number OR Social Security Number (for tax purposes) *
Your answer
Physical Address *
Your answer
Mailing Address (if different)
Your answer
Business Phone Number *
Your answer
Personal Phone Number *
Your answer
Email Address *
Your answer
Website (if you have one)
Your answer
Estimated Monthly Costs (Please estimate, even if it is a very rough number, the MINIMUM amount that your business would need for operating costs for a month. What do you normally spend on rent, utilities, staff costs, taxes, etc, in a month?) *
Your answer
COVID-19 Impact (What are the impacts to your business from COVID-19 as of today? Please check all that apply.) *
Required
Number of Full-Time Employees March 10, 2020 *
Your answer
Number of Part-Time Employees March 10, 2020 *
Your answer
Current number of employees (note full or part time) *
Your answer
Current revenue decline due to COVID-19 *
Other assistance (as of today, what economic assistance have you applied for? Check all that apply) *
Required
Select how your business will use funds *
Acknowledgment: Please check each statement acknowledging that you have read and affirm the information you have submitted within this application is true and accurate to the best of your knowledge. *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy