Access COH Small Business Grant Program Criteria
1) Please complete the entire form. 2) Read the information at the end of this application, including the financial and other information that will be required prior to grant award, if approved. 3) Sign and attach any required documents; submit the application by clicking submit below.
Applications must include all required documentation in order to be considered for funding. If an application does not contain all required documentation, it will be incomplete and ineligible for award.
Eligible businesses can request grant funding up to a maximum amount of $10,000. Your application must demonstrate that your business has incurred eligible expenses equaling the amount of grant funding you are requesting.
Please upload a copy of the filed Business Registration Certificate or Certificate of Formation.
[Click Here to view examples of a Business Registration Certificate and Certificate of Formation]
Please upload evidence that your business was operational as of July 28, 2021. Satisfactory evidence includes leases, utility bills evidencing operations, bills for supplies or other business necessities which demonstrate business was in operation as of July 28, 2021.
Business Established Date
Business Address (Physical address)
Business Mailing Address
Business Owner Name
Please upload a copy of filed 2020 federal income tax return -OR- copy of filed 2019 federal income tax return and extension request.
Please upload a completed Form W-9
[Click Here to download and complete a W-9 form]
PLEASE NOTE: You may not apply for Hoboken Small Business Grant funds for the same Eligible Expenses your business has already received funding for from any other source.
Has your business received funding from your insurance provider?
Date funds were received:
Please upload a copy of relevant insurance documentation detailing the funds your business has received.
Has your business received funding from COVID-19 loan/grant/financial assistance program(s)?
Please upload a copy of the agreement detailing the funds your business has received.
Add another program?
Eligible businesses can request grant funding up to a maximum amount of $10,000. Your application must demonstrate that your business has incurred eligible expenses equaling or exceeding the amount of grant funding you are requesting.
The following Business Expenses incurred between September 1, 2020 and July 28, 2021 are eligible:
Are you requesting funding for Employee Salaries (one-time claim of $2000/employee)?
Please upload a copy of Form WR-30 filed with the State of New Jersey for each quarter you are requesting funding for.
Are you requesting funding for sole proprietor salary (one-time claim of $2000)?
Are you requesting funding for salary of principal or entity owner (one-time claim of $2000/owner)?
Please upload a copy of last filed federal Form K-1 for each owner.
Are you requesting funding for monthly Rent/Lease payments?
Please upload a copy of fully executed (SIGNED) lease agreement (must cover timeframe you are requesting funding for).
Are you requesting funding for mortgage/business loans?
Please upload a copy of signed mortgage note and/or business loan note.
Are you requesting funding for utilities?
Please upload copies of bills you are claiming in this grant request.
Are you requesting funding for equipment lease/finance payment?
Please upload a copy of monthly statement OR a copy of lease/financing agreement.
BUSINESS & UTILITIES EXPENSES – Please enter below the amounts that you are requesting funding for. Please note that your total grant request cannot exceed $10,000.
Add another month of expenses?
Total Rent Amt:
Total Mortgage Amt:
Total Business Loan Amt:
Total Equipment Lease/financing Amt:
Total Electric Amt:
Total Gas Amt:
Total Water Amt:
Total Phone Amt:
Total Internet Amt:
Total Grant Funding Requested:
Business Expenses & Utilities Expenses:
Bonus funding will be awarded to applicants who can demonstrate 75% or greater employee COVID-19 vaccination rate. The bonus will be added to the total grant award. Please note that employee(s) must be fully vaccinated against COVID-19 at the time of application submission in order to qualify for this bonus.
Please upload proof of COVID-19 vaccination (i.e. copies of COVID-19 vaccination cards) to demonstrate 75% or greater employee vaccination rate. (Please note, system only allows upload of 10 individual files; you can upload additional files below, if necessary).
Please upload proof of COVID-19 vaccination (i.e. copies of COVID-19 vaccination cards) to demonstrate 75% or greater employee vaccination rate.
If your business has a 75% employee vaccination rate or greater, as indicated above, please check 'yes' below if you'd like your business to be placed on a list publicized by the City of Hoboken encouraging customers to patronize your business.
Bank Address
I certify that the following statements are true:
· Business is currently registered as a business with the New Jersey Department of Treasury, Division of Taxation.
· Business has not received benefits or reimbursements from any other source for the same Eligible Expenses claimed/requested in this application.
· Business was open at the time of the grant application and will use its best efforts to continue business operations.
· Business has been adversely impacted by COVID-19 resulting in a reduction of its business operations whether due to a partial closure, a complete closure or a change in the manner of doing business.
· Business has a material financial need caused by COVID-19 that cannot be overcome without the benefit of this financial assistance.
· If applying for the Bonus Award: The employee COVID-19 vaccination rate is true and accurate, and any proof of vaccination provided with the application is valid.
· Applicant agrees and understands that any funds contained within a grant award that represent a payment for an expense or obligation owed to a third party must be used to make payment to the third party for the obligation or expense. The applicant further certifies that any request for reimbursement for an expense or obligation previously paid by the applicant to a third party is an expense or obligation actually paid by the applicant to the third party.
· All the statements and information provided herein and in the submitted application are accurate and truthful. I agree to be bound by the terms and conditions contained in the application. I am aware that if any of the information or statements made by me are willfully false, I am subject to punishment by law and reimbursement of funds with interest at 1% per annum. By accepting this grant award, I agree to make any other documents reasonably required by the City of Hoboken or by audit available as requested.
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