A-106 Small Business Support Relief Program Download Form PDF Small Business Support Relief Program Applicant / Business Name Section A) Amount of funding requested (maximum $5,000.00) $ Number of months subsidy requested? Section B) Eligible working capital costs include standard operational business costs. Applicants must provide a breakdown of costs - specific to the business - that they are requesting that ED&T cover under this one-time assistance. Section B) Yearly Costs Rent / Mortgage WSCC Business Phone Business Internet Municipal License Fees Municipal Fees (i.e. Garbage) Heating Property Taxes Electricity Insurance (Fire, Liability, etc.) Total Amount OR Monthly Costs Rent / Mortgage WSCC Business Phone Business Internet Municipal License Fees Municipal Fees (i.e. Garbage) Heating Property Taxes Electricity Insurance (Fire, Liability, etc.) Total Amount ᖃᓄᐃᓕᐅᒐᒃᓴᐃᑦ Current Small Business Support Relief Program Wages Additional Working Capital Costs (please specify) Preview Complete ᐅᓇ ᒪᒃᐱᖅᑐᒐᖅ ᐊᑑᑎᕚ? ᐄ ᐋᒃᑲ Provide comments IU ᐃᕐᖐᓐᓈᖅᑕᐅᑦ ᐊᑐᐃᓐᓇᐅᑎᑦᑎᓗᑎᑦ ᐅᖃᐅᓯᐅᔪᒥᒃ? ᖁᔭᓐᓇᒦᒃ ᖃᐅᔨᒋᐊᕋᕕᑦ ᓄᓇᕗᒻᒥ ᒐᕙᒪᒃᑯᓐᓄᑦ ᓇᒃᓯᐅᔾᔨᑦᑕᐃᓕᒋᑦ ᐊᒃᑐᖅᑕᐅᓴᕋᐃᑦᑐᓂᒃ ᓇᖕᒥᓂᕐᓘᓐᓃᑦ ᓇᓗᓇᐃᔭᐅᑎᓂᒃ, ᐃᓚᐅᓗᑎᒃ (ᑭᓯᐊᓂ ᐃᓱᓕᕝᕕᖃᙱᑦᑐᖅ): ᓴᓇᔪᓐᓇᐅᑎᑦ ᓈᓴᐅᑎᖏᑦ, ᐃᓅᕝᕕᖏᑕ, ᓇᓗᓇᐃᔭᐅᑎᖏᑦ ᐊᓯᖏᑕ ᐃᓄᐃᑦ, ᐋᓐᓂᐊᖃᕐᓇᙱᑦᑐᓕᕆᓂᕐᒧᓪᓘᓐᓃᑦ ᓇᓗᓇᐃᔭᐅᑎᑦ. ᓇᐃᑦᑐᒥᒃ ᐅᓂᒃᑳᖅᓯᒪᔪᒥᒃ ᓇᒃᓯᐅᔾᔨᑐᐃᓐᓇᕐᓂᐊᖅᐳᑎᑦ ᐱᔾᔪᑎᒥᒃ ᐃᓱᒫᓘᑎᒋᔭᕐᓂᒡᓘᓐᓃᑦ ᖃᓄᕐᓗ ᐃᓕᖕᓄᑦ ᖃᐅᔨᒋᐊᕈᓐᓇᕐᒪᖔᑦᑕ. ᖃᐅᔨᒪᒋᐊᕐᓂᐊᖅᐳᒍᑦ ᑕᐃᓐᓇᑦᑎᐊᖅ ᐃᓄᒃ ᖃᐅᔨᒋᐊᕐᕕᒋᓗᓂᑎᑦ ᑐᑭᓯᒃᑲᓐᓂᕆᐊᕆᐊᖃᖅᐸᑕ ᐅᕝᕙᓘᓐᓃᑦ ᑭᐅᔪᓐᓇᕐᒪᖔᑦ ᐊᐱᖅᑯᑎᖕᓂᒃ ᐃᓱᒫᓘᑎᒋᔭᕐᓂᒡᓘᓐᓃᑦ.
