If your small business has been negatively impacted by COVID-19, complete and submit this expression of interest form to the Department of Commerce and Economic Opportunity.
Enter your small business's legal name.
Enter your small business's FEIN.
Enter the name your small business is doing business as.
Enter your small business's address.
Enter your small business's city.
Enter your small business's state.
Enter you small business's zip code.
Enter the address of other locations of your small business, if applicable (address, city, state, zip code).
Enter the category of your small business. If you select "Other," you must specify type of business below.
If you selected "Other" above, you must specific the type of small business.
Enter the number of years your small business has been in business.
Select whether you own or rent the property where your small business operates. If you have multiple locations, you can select both "own" and "rent," if appropriate.
Enter your estimated 2019 Gross Annual Revenue (calendar year) in whole dollars.
Enter the percentage revenue decline you anticipate for 2020 as a result of COVID-19.
Enter the number of employees employed by your small business at January 1, 2020.
Enter the number of employees currently employed by your small business.