Crawford County COVID-19 Loan Fund Preliminary Application
Are you a small business operating in Crawford County? Are you worried about the impact COVID-19 will have on your operations?

The Crawford County COVID-19 Loan Fund is here to help your business survive the economic impact of the COVID-19 virus. Please fil out the following form to apply for the COVID-19 Loan Fund.

**If approved your preliminary application is approved, you will be asked to a) get a credit check b) sign an affidavit c) submit your 2019 financials***
Email *
Name of Business *
Business Owner Name *
List Additional Business Owners
Anyone with Ownership of 20% or more of the Business
Business Owner Email *
Business Address *
Mailing Address, City, State, Zip
Phone Number *
Type of Industry *
Size of Business (Number of Employees) *
Date of Business Established *
Amount of funds being requested *
$5,000 is the max. funding amount for this loan program.
Please give a brief description of the losses you plan to cover. *
Please, list all other business debts *
Is business current on all taxes? *
I am willing to sign an affidavit, obtain a credit check, and submit 2019 financials to the Crawford County Economic Development Corporation. *
I understand that this is a loan and not a grant. Therefore, I will be required to repay the monies dispersed. A loan contract with security, including personal guaranty, will be required. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Buehler Designs. Report Abuse