Online CRIO Business Certification Application
Thank you for certifying your business with the City of Detroit. We look forward to working with you.
Date Submitted
Certify Business As (select all that apply):
Detroit Based Business (DBB)
Detroit Headquartered Business (DHB)
Detroit Small Business (DSB)
Detroit Start-Up (DSU)
Detroit Resident Based Business (DRB)
Detroit Micro Business (DMB)
Woman-Owned Business Enterprise (WBE)
Minority-Owned Business Enterprise (MBE)
Authorized Contact Person
i.e., the representative who is authorized to discuss confidential information and answer questions related to your application.
Authorized Contact: First Name
*
Authorized Contact: Last Name
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Authorized Contact: Title
*
Authorized Contact: Phone Number
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Authorized Contact: E-mail Address
*
Business Information
Business Name
*
Business Street Address
*
Business City
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Business State
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Business Zip Code
*
City of Detroit Council District Location
*
If you are not sure, please view the district map here:
https://detroitmi.gov/webapp/interactive-district-map
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Business Mailing Address: Street Address
*
Business Mailing Address: City
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Business Mailing Address: State
*
Business Mailing Address: Zip Code
*
Business E-Mail Address
*
To be published on online business register.
Business Website
Business/Industry Type
*
Business Formation Date
*
Federal Employer Identification Number (FEIN) OR last 4 digits of Social Security Number
*
Are you a home based business?
*
Yes
No
Are you applying as a start up?
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Yes
No
Recertification
If recertifying, please check the box and proceed to document upload section of this form.
Applying as Detroit Headquartered or Detroit Based Business
If you are applying as a Detroit Headquartered Business, then please provide the following information even if you are headquartered outside of Detroit.
If NOT applying for Detroit Headquartered or Detroit Based Business, then please skip and proceed to uploading documents.
Detroit Headquartered
Do you lease or own the HQ business location?
Lease
Own
Name of Authorized Contact at the Headquarters
Headquarters: Street Address
Headquarters: City
Headquarters: State
Headquarters: Zip Code
Business Hours
Total Number of Employees
Numerical Value Only
Total Number of Detroit Resident Employees
Numerical Value Only
Detroit Based Business
If different than Detroit Headquarters, do you lease or own a Detroit Based business location?
Lease
Own
Name of Authorized Contact at Detroit Location
Detroit Location: Street Address
Detroit Location: City
Detroit Location: State
Detroit Location: Zip Code
Total Number of Employees at Detroit Location
Numerical Value Only
Total Number of Detroit Resident Employees at this Location
Numerical Value Only
Please Upload the Following Documents
1. Affidavit of Applicant (Required)
2. Completed Request for Income Tax Clearance (Required)
3. Completed Accounts Receivable Clearance Application (Required)
4. Most Current Federal Tax Return (1st page only- If applying for DSB, please provide prior 3 years) (Required)
5. Copy of Current Lease or Deed (Required)
6. If applicable, Minority Based or Women Based Enterprise Declaration
7. If applicable, Additional Detroit Locations -Upload Additional Locations in a Separate Document Here. Please include total employees and total Detroit resident employees for each document.
All required documents must be uploaded for application to be processed.
Document templates can be accessed by clicking the respective links below:
* Request for Income Tax Clearance
https://detroitmi.gov/forms/request-income-tax-clearance-1
* Account Receivable Clearance
https://detroitmi.gov/forms/account-receivable-clearance
* Business Certification Affidavit
https://detroitmi.gov/forms/business-certification-affidavit
* MBE/WBE Declaration
https://detroitmi.gov/forms/mbe-wbe-declarations
File Attachments
*
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Email address
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