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Restaurant and Bar Grant Application

2. First Name*

3. Last Name*

5. Business Name*

7. Mailing Address*

9. City*

10. State*

11. Zip Code*

13. Phone Number*

15. Email Address*

17. Amount applying for*

19. City

20. State

21. Zip Code

23. Demonstrate need for assistance*

25. Description of how funds will be used*

27. Please describe how your business has been affected by the 2/13/21 Grand County Public Health Orders.*

29. We intend to be open*

    If awarded a grant, I affirm we intend our business to be in operation

    1. I agree
31. Our business has been affected by 2/13/21 Grand County Public Health Orders*

    The business has been forced to temporarily close or forced to dramatically limit operations due to public health orders related to COVID-19 public health crisis on 2/13/2021 and resulted in lost revenue

    1. I agree
33. Supporting Documents

35. Upload W-9

37. Blank W-9
    Download

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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

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