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Campbell County Business Grant Application - COVID 19 Expense Reimbursement

  1. Cares Act Reimbursement

  2. Campbell County businesses who meet eligibility criteria may apply for up to $5,000 in reimbursement funds via the online grant application below. Campbell County’s internal COVID-19 Finance Team will review applications and make award recommendations starting July 1 and will continue as long as allocated resources remain available. Award recipients will be notified by email; awards will be issued by check or direct deposit. Requests for grant awards over $5,000 will be considered on a case-by-case basis contingent on documentation of adverse impact and need.

  3. Applicants should be aware of the following criteria set for eligibility: 1. Funds must be used for actual COVID-19 expenses related directly to the public health crisis (i.e. cleaning supplies, masks for employees, plexi-glass installation, hand-sanitizer, etc.) Grant funding does not cover loss of revenue or reimbursement for tax payments. 2. Reimbursable expenses must have been incurred between March 1 and December 30, 2020. 3. Copies of dated receipts and a completed W-9 form must be submitted with the application to be considered. 4. Each business location requires an individual application.

  4. To apply for funding, your business must: o be independently owned; (corporately owned national chains are not eligible for the grant unless they are an individually owned franchise). o hold an active business license in Campbell County. o be in good standing on state/local taxes. o be physically located in Campbell County. o have been in operation since 2019.

  5. Business owners with questions may contact the Department of Finance and Strategic Initiatives at (434) 332-9667.

  6. Type of Business Format*

    Please check the option that applies, or explain business model/format.

  7. What Type of Industry Are You In? *

    Please check the box that best applies.

  8. Please include specific dates, actions/responses, and type of expenses incurred.

  9. Were you forced to close or modify operations during the COVID-19 pandemic? *

  10. Have you received other COVID-19 relief funding this year?*

  11. Acknowledgement and Signature:

    I attest that the information presented in this application is true to the best of my knowledge and understand that any funds administrated through this grant may be audited for specified use. I agree to comply with all grant criteria set forth and accept responsibility for repayment to Campbell County should funds be expended by me or my affiliated business in a manner prohibited within the grant’s criteria. I understand that Campbell County administers grant allocations within its discretion and is under no obligation to remit funding based on submission of this request. Please note that nothing submitted with this application will be returned to the requestor.

  12. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature on an official letter of award at a later date if selected to receive funding.

  13. Leave This Blank:

  14. This field is not part of the form submission.