Cuyahoga County Business Assistance Application

Helping Small Businesses Navigate Uncertain Times

Cuyahoga County has established a Small Business Resource Center and Stabilization Fund to support businesses impacted by COVID-19.

*******AS OF 5:00PM EST ON 4/23 THE GRANT PORTION OF THIS APPLICATION IS CLOSED. YOU CAN CONTINUE TO COMPLETE THE APPLICATION TO POTENTIALLY QUALIFY FOR OTHER FINANCIAL RESOURCES THROUGH THE STABILIZATION FUND********

Please complete this application so that we can direct business resources and assistance to you as soon as possible. The application will also serve as a pre-screening tool for grants and loans from the Stabilization Fund and other community partners.

About the Stabilization Fund
The Stabilization Fund provides working capital to businesses impacted by COVID-19 for business related expenses, including payroll, accounts payable, fixed costs, inventory, rent, and utilities. Focuses of the Stabilization Fund include: Business Stabilization, Job Retention. Positioning for Long-term Recovery, and Support of Minority and Neighborhood-based Businesses.

Small Businesses with less than 500 employees can apply for loans through the Stabilization Fund. Small businesses with less than 20 employees may be eligible for grants.

*Not all eligible businesses will receive a grant or a loan

About the Call Center and Website
The Small Business Resource Center Website and Call Center provide technical assistance and information about resources to assist during these economic times.

Businesses can reach live Call Center agents through the Small Business Resource Center Monday-Friday, 8 AM – 5 PM, at (216) 452 – 9714 to assist with:
- Small Business Administration (SBA) Loan Applications
- Business Consulting
- Other Financial Assistance
- Unemployment Benefits
- Retaining and Retraining Employees

Did You Know?
SBA is offering Loans for small businesses up to $2 Million and $10,000 Advances? For detailed information on SBA programs, visit www.sba.gov/coronavirus

*The Website Link to return to the Small Business Resource Center Website is listed at the end of the survey. Please copy the link to save.

Question Title

* 1. Business Contact Information

First Name

Last Name

Business Name

Business Address

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

Question Title

* 2. What County is your personal home address located in?

Question Title

* 3. Was your business registered in the State of Ohio on or before 04/17/2019?

Yes

Question Title

* 4. What is your current business need? Please select all that apply

Application Assistance for Small Business Administration (SBA) Disaster Loan for up to $2 Million and $10,000 Advances

Business Consulting and General Assistance

Application Assistance for Unemployment Benefits

Strategies to Retain and Retrain Employees

Interest in applying for grants and loans through the Cuyahoga County Stabilization Fund

Other (please specify)

Question Title

* 5. Have you applied for the Small Business Administration (SBA) Economic Injury Disaster Loan up to $2 Million, a $10,000 Advance, or any other SBA loan programs?

***Visit www.sba.gov to apply for these programs

If Yes, please list the federal SBA loan program that you have applied to

Question Title

* 6. What type of business owner are you?

Sole Proprietor

Independent Contractor/Consultant

Limited Liability Corporation (LLC)

S Corporation

Partnership

C Corporation

Other (please specify)

Question Title

* 7. What is your business industry?

Food Industry: Restaurant/Bars

Hospitality

Personal Care Services & Cosmetology

Neighborhood Healthcare

Food Industry: Neighborhood Grocer

General Contracting

Construction or Landscaping

Manufacturing

Automotive

Logistics and Distribution

Aerospace

Other (please specify)

Question Title

* 8. Can your business be defined as any of the following business types?

Bank of Financial Services

E-commerce

Adult Entertainment

Liquor Store

Tobacco Store

Cannabis Dispensary

Franchise (that is not locally owned and independently operated)

N/A

Question Title

* 9. Employee Status

*There are financial benefits and resources available for businesses who keep their employees on payroll. Please share the following information about your employees

How many employees do/did you have, including yourself?

Have you laid off any employees? If so, how many?

If you have not laid off any employees, do you intend to in the next 30-45 days?

Do you intend to pivot your business into any new products, services or offerings?

Question Title

* 10. What percentage of your employees would you estimate live/lived in Cuyahoga County?

< 10 %

10 - 24%

25 - 50%

51 - 75%

76 - 100%

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* 11. What was your estimated gross revenue for your business in 2019?
* Please do NOT include any symbols like number signs, decimals or commas*

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* 12. How much revenue have you lost? Please estimate any revenue decline you've experienced as a result of COVID-19 since March 17, 2020, if applicable.

< 10 %

10 - 20%

21 - 30%

31 - 40%

41 - 50%

51 - 60%

61 - 70%

71 - 80%

81 - 90%

91 - 100%

Please briefly describe your business loss due to COVID-19 and your plan to reopen and/or recover

Question Title

* 13. If your business is closed, do you have a plan to reopen within the next 12 months?

Yes

I need help creating a plan to reopen

My business is still open

Question Title

* 14. What costs do you need financial assistance for, if at all? (please select all that apply)

Employee compensation (salary, wage, commission, cash tip, or similar compensation)

Payments required for the provisions of Employee group health care benefits, including insurance premiums

Payments of interest on any mortgage obligation

Rent (including rent under a lease agreement)

Utilities

Interest on any other debt obligations

Liability insurance premiums

N/A

Other (please specify)

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* 15. Is your business currently in receivership or bankruptcy?

Yes

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* 16. Is your business current on all local Cuyahoga County real estate taxes?

Yes

N/A

If you owe any real estate taxes to Cuyahoga County, please list the amount that is unpaid

Question Title

* 17. Please identify if your business falls into any of these categories (select all that apply).

*Business may be able to access certain resources if they fall into one of these categories that may help solve a business need.

Woman-owned

Minority-owned

Veteran-owned

EDGE certified entity

Disadvantaged business entity

N/A

Question Title

* 18. Have you received a grant or loan to assist with COVID-19 related losses from any other Cuyahoga County local government or private fund?

Yes

If yes, please list the name of the organization that you have applied for funding from

Question Title

* 19. Are you interested in other services? (please check all that apply)

Business Education Courses

Business Preparedness (general)

Financial Assistance

Resources for Women Entrepreneurs

Resources for Black Entrepreneurs

Resources for Latinx Entrepreneurs

Understanding City Rules and Regulations for Businesses

Other (please specify)

Question Title

* 20. How did you hear about this interest form?

Small Business Resource Center Help Line Live Agent

Small Business Resource Center Help Line Website

Other (please specify)

Question Title

* 21. I declare that, to the best of my knowledge and belief, the information herein is true, correct, and complete. I further acknowledge, that if I am approved for a grant or loan from the stabilization fund, I will complete the required post-funding survey within 30days of receiving funding.

(Type your name below to serve as your signature)

Return back to the Cuyahoga County Small Business Resource Center

Cuyahoga County Business Assistance Application

Helping Small Businesses Navigate Uncertain Times

Question Title

* 1. Business Contact Information

Question Title

* 2. What County is your personal home address located in?

Question Title

* 3. Was your business registered in the State of Ohio on or before 04/17/2019?

Question Title

* 4. What is your current business need? Please select all that apply

Question Title

* 5. Have you applied for the Small Business Administration (SBA) Economic Injury Disaster Loan up to $2 Million, a $10,000 Advance, or any other SBA loan programs?***Visit www.sba.gov to apply for these programs

Question Title

* 6. What type of business owner are you?

Question Title

* 7. What is your business industry?

Question Title

* 8. Can your business be defined as any of the following business types?

Question Title

* 9. Employee Status *There are financial benefits and resources available for businesses who keep their employees on payroll. Please share the following information about your employees

Question Title

* 10. What percentage of your employees would you estimate live/lived in Cuyahoga County?

Question Title

* 11. What was your estimated gross revenue for your business in 2019? *** Please do NOT include any symbols like number signs, decimals or commas***

Question Title

* 12. How much revenue have you lost? Please estimate any revenue decline you've experienced as a result of COVID-19 since March 17, 2020, if applicable.

Question Title

* 13. If your business is closed, do you have a plan to reopen within the next 12 months?

Question Title

* 14. What costs do you need financial assistance for, if at all? (please select all that apply)

Question Title

* 15. Is your business currently in receivership or bankruptcy?

Question Title

* 16. Is your business current on all local Cuyahoga County real estate taxes?

Question Title

* 17. Please identify if your business falls into any of these categories (select all that apply).*Business may be able to access certain resources if they fall into one of these categories that may help solve a business need.

Question Title

* 18. Have you received a grant or loan to assist with COVID-19 related losses from any other Cuyahoga County local government or private fund?

Question Title

* 19. Are you interested in other services? (please check all that apply)

Question Title

* 20. How did you hear about this interest form?

Question Title

* 5. Have you applied for the Small Business Administration (SBA) Economic Injury Disaster Loan up to $2 Million, a $10,000 Advance, or any other SBA loan programs?

***Visit www.sba.gov to apply for these programs

* 9. Employee Status

*There are financial benefits and resources available for businesses who keep their employees on payroll. Please share the following information about your employees

* 11. What was your estimated gross revenue for your business in 2019?
* Please do NOT include any symbols like number signs, decimals or commas*

* 17. Please identify if your business falls into any of these categories (select all that apply).

*Business may be able to access certain resources if they fall into one of these categories that may help solve a business need.