COVID-19 Relief Grant Application - Bluebird District on Colfax Avenue

You are eligible to apply for the West Colfax BID COVID Relief Grant.

Please continue filling out the form below to tell us more about your business and how it has been impacted by COVID-19.

Primary Contact for This Application*

First Last

Primary Contact Phone

Primary Contact Email

Enter Email Confirm Email

Is the Primary Contact the Business Owner?*

Yes
No

Business-Owner's Name*

First Last

Business Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Business Entity Type*

If "Other," please explain.

Which of these identification numbers will you provide?*

Employer Identificatin Number (EIN)
Social Security Number (SSN)
Individual Taxpayer Identification Number (ITIN)

Please enter your EIN*

Please enter your SSN*

Please enter your ITIN*

Operating on West Colfax since:*

Describe the how the Covid-19 public health emergency caused economic harm to the business.*

Briefly explain how the small business incurred revenue losses and/or additional expenses because of the Covid-19 public health emergency.

What economic harms have you faced due to Covid-19 and the public health response? (Select all that apply)*

Loss of Revenue, since March 1, 2020, due to the COVID-19 health emergency
Increased Costs, since March 1, 2020, due to the COVID-19 health emergency
Both Increased Costs and Loss of Revenue, since March 1, 2020, due to the COVID-19 health emergency

Was your loss of revenue associated with (check all that apply):*

A mandatory closure since March 1, 2020?
A voluntary closure or to promote social distancing measures since March 1, 2020?
Decreased customer demand due to the Covid-19 public health emergency?

Total Loss of Revenue*

What is the total loss of business revenue due to Covid-19 public health emergency since March 1, 2020 to date of application.

Detail Your Revenue Loss*

Please detail total revenue loss, describing how the figure was calculated. Reference how the documentation to be uploaded demonstrates those losses. When documenting a revenue loss, please compare the revenue in the Covid-19 period (March 1-date of application) to an earlier relevant pre-Covid-19 baseline period, and why the specified period was used.

Documentation of Revenue Loss*

Please upload any relevant documentation of loss of revenue due to Covid-19 public health emergency since March 1, 2020 to date of application. To show loss of revenue please provide comparative documentation from prior year period (e.g. July 2019 v July 2020). These include Bank statements, Financial ledgers, Point of sale revenue reports, Tax filings, Other financial records.

Up to 5MB per file—formats: pdfs, word, text, jpg, gif, png, xls, xlsx. Use the red "X" next to an uploaded document to remove.

Drop files here or

Accepted file types: jpg, gif, png, pdf, xlsx, xls, doc, docx, txt, rtf, Max. file size: 5 MB.

Increase in costs*

Total increase in costs for measures to control the Covid-19 public health emergency since March 1, 2020 to date of application.

Detail Increase in Costs*

Please detail the total increase in business costs, describing how the figures were calculated. Reference how the documents to be uploaded demonstrate those expenses. To show increased costs for measures to control Covid-19, document purchases of PPE, plastic shields, Covid-19 testing of employees, equipment for social distancing like tables and chairs, sun/rain shades, winterization of outdoor seating through tenting, propane heaters, etc. If the business has operations outside the district, please clarify and restrict documentation to in-district increased costs.

Documentation of Increased Costs*

Please upload any relevant documentation of increased operational costs to control the Covid-19 public health emergency since March 1, 2020 to date of application, including Expense receipts or Proof of payment for expenses.

Up to 5MB per file—formats: pdfs, word, text, jpg, gif, png, xls, xlsx. Use the red "X" next to an uploaded document to remove.

Drop files here or

Accepted file types: jpg, gif, png, pdf, xlsx, xls, doc, docx, txt, rtf, Max. file size: 5 MB.

Apply here for a Bluebird Business Improvement District COVID Relief Grant

Please note, you will be required to upload supporting documents—please have them ready before starting the application. To preview the questions you will find on this application, you may download this Word document before continuing with the application.

Step 1 of 3

To preview the questions you will find on this application, you may download this Word document before continuing with the application.

You are eligible to apply for the West Colfax BID COVID Relief Grant.

Please continue filling out the form below to tell us more about how much you will be requesting and how you plan to use the grant funds.