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Washougal Small Business Grant Program

    November 13, 2020 by 5:00pm
  2. Please provide the following information:
  3. (UBI with Washougal Endorsement Number)
  4. (Must be within city limits.)
  5. (If different.)
  6. Is this business current on all federal and state business licensing requirements?*
  7. Is this business a private, for profit business?*
  8. Is this business an independent contracting business?*
  9. Is this business a franchise or national or regional chain with locations outside of Clark County?*
  10. Is this business or any of its owners currently suspended, debarred, proposed for debarment, declared ineligible, or voluntarily excluded from participation in any federal transactions?*
  11. Did this business receive a paycheck protection loan or economic injury disaster loan?*
  12. Upload Supporting Documentation Below
    This includes invoices, sales receipts, proof of payment, books, documents, data or other evidence. If you require more than 4 upload fields, please send files directly to
  13. By entering my name, title and business name above, I have approved the submission of this application and certify that the information is true and correct. If I/we receive a grant, I/we agree to enter into an agreement with the City of Washougal and promise to use the grant funds in the intended manner consistent with the City’s eligibility requirements and to provide all documentation necessary for the City to verify use of the funds, if requested.
  14. Leave This Blank:

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