We are pleased to notify you that your application for the RVA Small Business Relief Fund grant has been approved.  Please complete the form below so we can deposit the grant funds into your business banking account.

You must submit the form below by Noon (12:00 p.m.) Monday, June 1, 2020 in order to complete your acceptance of the grant. 

  • Please enter exact name used in original application
  • Please enter exact EIN used in original application
  • Please enter address as indicated on previously submitted Form W9
  • Primary Contact

  • Banking Information

  • Max. file size: 25 MB.

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