Macomb County Sustainability Program

Please fill out the application, in its entirety and provide the documents requested. If your business has multiple locations, please fill out a seperate application for each location, even if the W9 has the same address.
 

STOP - Before Starting the Application

Please have the following items ready before you start this application. It is possible, the system will time you out. - W9 - Signed and dated within the last 12 months - Signed Affidavit - Recent utility bill within the last 6 months
 

Macomb County Business Information

Please provide the address
 
 
 
 
 

 

W9 Information

Please fill out the information below as it appears on your W9, even if it is the same as above. If this information does not match the attached W9, it will cause a delay in processing your application.
 
Line 1 on the W9
 
Line 2 on the W9
 
Line 5 on the W9
 
Line 6 on the W9
 
Line 6 on the W9
 

 

Primary Contact

Please provide contact information for the person responsible for this application.
 
 
 
Please enter the title of the primary contact.
 
Format: (xxx)xxx-xxxx
 
Application confirmation and updates will be sent to this email address. Please double check for accuracy.
 

 
Please provide the link to your campany's webpage:
 
Please provide us any of the following that apply to your business: Facebook, Twitter, Instagram, LinkedIn, Other:
 
 

 

BUSINESS INFORMATION

Please complete the questions below. All questions are required.
 
Format: xx-xxxxxxx
 
Please select the type of industry that best describes your organization:
 
What legal structure best defines your business?
 
Which of the following best describes the place where your business operates?
 
At what capacity has your business been operating since March 16, 2020?
 
Which of the following ownerships scenarios apply to your business? (check all that apply):
 
Roughly what percentage of revenue has your business lost over the last three months compared to the same time in 2019?
 
How many employees did you have on March 16, 2020?
 
If you receive this grant, how many jobs will you be able to create and / or retain? (This response will be used for reporting metrics and will not impact your application.)
 
 
 
 
This does not include the payroll protection program or other federal programs.
 
 
 

 
All incomplete W9's received will exclude your application. Please double check before uploading that the W9 is signed and has a current date.
 
Please double check before uploading that the affidavit is signed.
 
Please double check your utility bill is from within 6 months and the address matches the business address. Not the W9.
 

 
Please attach all required documents below. Incomplete applications will be denied. - W9 - Affidavit - Utility Statement
Drop your files here
 

Verify

Please double check all your information before submitting. Errors could cause a delay in processing.
 
I verify my completed W9 is attached
 
I verify my completed affidavit is attached
 
I verify I have attached a utility statement
 

Email Confirmation

If you would like to receive a copy of your application, please click the box and retype your email address.