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Requied Documentation: W-9 (this allows the City to process a check if your grant <br />application is approved) <br />Click button for uploading file <br /> CLEAR <br />Maximum size allowed: 5 MB <br />Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .pdf, .txt <br />Digital Signature (by typing your name and today's date below, you are providing your <br />digital signature to this application) <br />200 characters <br />Date and Time <br /> <br /> <br />Other Information (this section IS NOT required; the data is helpful <br />to understand future strategies for business support but will not be <br />used to evaluate your application) <br />Have you reduced your employee headcount since 3/10/20? <br />Yes <br />No <br />If you answered "yes" above, by how many people have you reduced headcount as of the <br />date of this application? <br /> <br />Based on the Governor's Executive Orders, was your business: (select one) <br />Defined as non-critical and forced to close for the Order duration <br />Defined as non-critical and shifted to online only orders or offerings <br />Defined as critical but must restrict operations (offer only take-out/delivery, etc.) <br />Defined as critical and allowed to operate while implementing remote work or changes <br />to work places for social distancing/sanitizing <br />Other, please describe below <br />If you answered "other" above, please describe what your business was required to do <br />based on the Governor's Executive Orders. <br />200 characters <br />Please tell us more about the specific impacts your business has experienced due to <br />the COVID-19 pandemic. (check all that apply) <br />Business closure <br />Reduced hours of operation