Small Business Emergency Loans
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.
Small Business Information
Small Business Information
Legal Name
*
Enter your small business's legal name.
Business FEIN
*
Enter your small business's FEIN.
Doing Business As Name
*
Enter the name your small business is doing business as.
Address
*
Enter your small business's address.
City
*
Enter your small business's city.
State
*
Enter your small business's state.
Zip Code
*
Enter you small business's zip code.
Other Business Addresses
Enter the address of other locations of your small business, if applicable (address, city, state, zip code).
Business Category
*
Enter the category of your small business. If you select "Other," you must specify type of business below.
Type of Small Business, if "Other"
If you selected "Other" above, you must specific the type of small business.
Number of Years in Business
*
Enter the number of years your small business has been in business.
Do you own or rent the property where your small business operates?
*
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.
Estimated 2019 Gross Annual Revenue
*
Enter your estimated 2019 Gross Annual Revenue (calendar year) in whole dollars.
Anticipated Percentage Revenue Decline
*
Enter the percentage revenue decline you anticipate for 2020 as a result of COVID-19.
Number of Employees at January 1, 2020
*
Enter the number of employees employed by your small business at January 1, 2020.
Number of Current Employees
*
Enter the number of employees currently employed by your small business.
Contact Information
Contact Information
Contact Name
*
Contact Email
*
Contact Phone Number
*
*
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