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Prince William County Department of Economic Development

cgrove@pwcgov.org

13575 Heathcote Boulevard, Suite 240 Gainesville, VA 20155

571-334-0242

Prince William County Small Business Relief Micro-Grant Application

UPDATE: Application Deadline Extended to June 9

Good news! We're extending the deadline to apply for a Small Business Relief Micro-Grant to Tuesday, June 9, 2020, at 5 p.m.

We're also adding an option for you to fill out a paper application and either email it to us or drop it off in-person.

Please email your completed application and all of the required documents to Michele Weatherly at mweatherly@pwcgov.org. You can also drop off your application at our office on Monday or Tuesday (6/8 or 6/9) from 9 a.m. to 5 p.m.

Prince William County
Department of Economic Development
13575 Heathcote Blvd., Suite 240
Gainesville, VA 20155

Before you get started

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You must complete your application in one sitting; you do not have the ability to save and return to the application.

Step 1

If you haven't already, download the Prince William Small Business Relief Micro-Grant Financial Form and fill it out.

Make sure you've completed the highlighted sections with your gross monthly revenues for 2019 and 2020-to-date. The form also asks what types of business expenses you put the grant proceeds towards, is selected. You'll need to upload this form before submitting your application.

Step 2

Gather all your required financial information and documents [View more info on each document in our Tips to Apply]. You'll need to enter the information into the form or upload a pdf or photo of each of them:

  • Federal Taxpayer Identification Number

  • IRS W-9 Form

  • IRS 941 Form

  • Prince William County Account Numbers

  • Prince William County Business License Application

  • Prince William Business Tangible Return

  • Mortgage Deferral or Rent Reduction

  • Business Recovery Plan

  • Prince William Small Business Relief Micro-Grant Financial Form

You won't be able to save your application and come back to it, so make sure you have everything you need before you start.

Application number

You will be provided with a Application number upon submission.

Mailing address

Primary physical address in Prince William County

Magisterial district

If you are unsure which magisterial district your business is located, you can search here: https://gisweb.pwcgov.org/webapps/quickinfo/

Input your business address into the search, then select General Voting Information. Your magisterial district will be listed in the "Local Election" field.

Primary Contact

How did you hear about the Small Business Relief Micro-Grant program?

Is this business current on its Prince William County tax obligations?

What best describes the organization type?

Is the franchise owned and operated locally?

Is your business for-profit?

Provide your Taxpayer Identification Number (TIN) (choose one of the three TIN options)


How many employees in Prince William County as of February 29, 2020?


How many employees in Prince William County as of May 30, 2020?


Total employees as of February 29, 2020

Total employees as of May 30, 2020


If you have fewer employees as of May 30, 2020, was this due to:


Primary business function

Upload your Business Recovery Plan (max 2 pages)

Is this business (check all that apply)

What is the current status of your business?

If closed or open with limited capacity, check all that apply

Did you apply for the SBA’s EIDL or PPP loan & grant funds?

Were you awarded funding?

How have you used the funds? (check all that apply)

How much grant funding are you seeking through this application?

Is the primary location of the business owned or rented?

Have you requested or received a rent reduction or mortgage deferral at your place of business?

Please upload documentation of your request and/or approval for rent reduction or mortgage deferral.

What would you need for your business to re-open or resume full operations? (check all that are applicable to your organization)

Upload your business license

Upload your Small Business Relief Financial Form

Upload your 2018 & 2019 Business Tangible Property Returns

Upload your 2018 & 2019 Business License Application Forms

Upload your IRS form W-9

Upload your IRS form 941

Terms and Conditions

  1. The submission of an application for the Grant constitutes an unconditional agreement to, and acceptance of, these Terms and Conditions. The Applicant is responsible for ensuring his or her familiarity with the Terms and Conditions.
  2. By submitting an application, the Applicant certifies that it is not under any agreement or restriction that prohibits or restricts its ability to disclose or submit the materials included in the application or otherwise to apply for the Grant.
  3. Applicants acknowledge and agree that information (excluding proprietary financial and employee information) submitted by Applicants will be used in the promotion of the Grant and will be displayed on public webpage(s) showcasing selected businesses.
  4. The Applicant acknowledges and agrees that the information provided herein may be subject to disclosure, including under the Virginia Freedom of Information Act, Va. Code §§ 2.2-3700, et seq.
  5. The Applicant gives permission and waives the confidentiality of any confidential tax information concerning the Applicants tax payment status, licensing status and business revenue information, so that the Prince William County Department of Finance and the Prince William Department of Economic Development may verify the tax payment status, licensing status and business revenues of the Applicant.
  6. The Applicant hereby acknowledges and certifies that the information and representations set forth by the Applicant in the application are true and accurate in all respects as of the date of the submission of the application.  The Applicant acknowledges that Prince William County and the Industrial Development Authority of Prince William County will make evaluations and awards of Grant proceeds in reliance on the information provided by the Applicant, and that the information and representations set forth by the Applicant are material to the award of the Grant.
  7. The Applicant hereby acknowledges that Prince William County and the Industrial Development Authority of Prince William County have established certain criteria for qualified Applicants and applications, and that Applicants and applications that do not satisfy the established criteria shall not be considered.  The criteria for qualified Applicants and applications are set out below.  Applicant acknowledges and agrees that the determination of whether an Applicant or application satisfies the criteria for qualified Applicants and applications is solely in the discretion of Prince William County and the Industrial Development Authority of Prince William County. The Applicant acknowledges that all grant award decisions are final and are not subject to appeal.
  8. The Applicant acknowledges and agrees that in the event the Applicant is awarded a Grant, the Applicant will use the Grant proceeds for the following limited purposes:
    1. Ongoing expenses of the Applicant, such as payroll, rent, insurance or other operating expenses; or
    2. Adaptive costs, such as the purchase of e-commerce equipment/website creation and/or upgrade of an online sales site
    3. If the Applicant uses the Grant proceeds for another purpose, then upon sixty (60) days’ notice by the County, the Applicant shall return the full amount of the Grant funds awarded to the Industrial Development Authority of Prince William County
  9. The Applicant acknowledges and agrees that if the Applicant is awarded a Grant, and if within 90 days  of the award the Applicant Terminates the business then, upon sixty (60) days’ notice by the County, the Applicant shall return the full amount of the Grant funds awarded to the Prince William County Industrial Development Authority.
  10. The Applicant acknowledges and agrees that if the Applicant is awarded a Grant, and if within one year  of the award the Applicant moves its principal place of business outside of Prince William County then, upon sixty (60) days’ notice by the County, the Applicant shall return the full amount of the Grant funds awarded to the Industrial Development Authority of Prince William County.
  11. The Applicant agrees to report in writing to the Prince William County Department of Economic Development, in a form to be provided by the County, every six months for first year on the current status of their business including information on existing employees and revenues.
  12. The Applicant agrees to have a monthly update call with representatives of the Prince William County Department of Economic Development or its authorized representatives.
  13. The Applicant acknowledges that Grant recipients may be selected from qualified applications through a lottery process.  Applications may be preferred in the lottery pursuant to certain criteria.  The lottery process and the preference are set forth below.
  14. The Applicant acknowledges that the information and representations in the application may be verified by Prince William County and/or the Prince William County Industrial Development Authority.  The verification may occur prior or after the lottery.  If an application contains inaccurate or incomplete information, or misrepresentations, the application may be rejected.  An application rejected prior to a lottery award will not be placed in the lottery.  If an application rejected after a Grant is awarded by lottery, but the funds are not disbursed, the Grant funds will not be disbursed and the Grant will be null and void.  If an application is rejected after a Grant is awarded by lottery, and the funds are disbursed, then upon sixty (60) days’ notice by the County, the Applicant shall return the full amount of the Grant funds awarded to the Industrial Development Authority of Prince William County and the Grant will be null and void.
  15. In consideration of the time, expertise and other resources provided by Prince William County and the Industrial Development Authority of Prince William County, the Applicant, to the full extent permitted by law, by submitting an application voluntarily releases Prince William County and the Industrial Development Authority of Prince William County from any and all claims, actions, damages, costs or liabilities of any kind relating to or arising from or in connection with the awarding, advertising, receipt, and/or use or misuse of any Grant or participation in any Prince William Small Business Relief Grant related activities.
  16. The Applicant covenants to save, defend, hold harmless and indemnify the County, and all of its officers, departments, agencies, agent, and employees (Collectively the ''County') from and against any and all claims, losses, damages, injuries, fines, penalties, costs (including court costs and attorney's fees, charges, liability, or exposure), however caused, resulting from, arising out of, or in any way connected with this application.

Authorized Signature

I certify that I have read and understand and am authorized to complete and submit this application on behalf of the Applicant. I verify that the statements contained herein are true, accurate, and complete. I acknowledge that false and inaccurate statements made on the application are grounds for immediate rejection of the application.

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