RRRF Form Application Online RRRF Application for Funding Step 1 of 5 20% Before you begin, please be sure you have these items handy: A copy of : Business License Drivers License Void Cheque Current Financials(ie. profit and loss statement or income statement and a current balance sheet) Applicant InformationBusiness Name* Business address* Phone number* Email address* Website Operating name (if different from business name) How much RRRF Emergency Funding are you requesting?* Type of Business or Organization*sole proprietorpartnershipincorporatednon-profitsocial enterpriseAre you a full time business?* Yes No Date of Incorporation or Business Start Date*(YYYY-MM-DD) YYYY dash MM dash DD Your business or organizations fiscal year end* Number of full-time employees in Canada:*Please enter a number greater than or equal to 0.Number of full-time employees outside of Canada:*Please enter a number greater than or equal to 0.Number of contract employees:*Please enter a number greater than or equal to 0.Business Number Select from the drop-down box below to indicate the nature of your business or organization*Please SelectAccommodation and food servicesAdministrative and support servicesAgriculture and agri-foodAmusement, gambling and recreation industriesArts, entertainment and recreation (including Motion picture and sound recording)Book publishing industryBroadcasting and tele-communicationsBusiness, scientific and other professional servicesComputer systems, software and video games design, and publishing and data processingConstructionEducationFinance, real estate, and management of companiesForestry, fishing and huntingHealth care and social assistanceHeritage InstitutionsManufacturing (specify)Mining, oil and gas and utilitiesOther Services (including religious, grant-making, civic and professional and similar organizations)Performing arts, spectator sports and related industriesPublic AdministrationTransportation servicesWarehousing, postal services, couriers and messengersWholesale and retailOtherPlease select one of the following priority areas that align with the nature of your business or organization.*ManufacturingTechnologyTourismNot ApplicableProvide a brief overview of your business/organization's history, including ownership and management team, major products and/or services.*(maximum 3,500 characters)Applicants Name* Applicants phone number* Applicants address* Applicant Location City Postal Code Official Language Preferred for Correspondence* English French COVID-19Has your business or organization applied for or received any federal or provincial funding in the last year, including any recent COVID-19 economic measures?* Yes No Measure / Program NamePlease SelectBusiness Credit Availability Program (BCAP)Canada Emergency Business Account (CEBA)Canada Emergency Commercial Rent Assistance (CECRA) (Received by Landlord)Canada Emergency Wage Subsidy (CEWS)CRA Temporary 10% Wage SubsidyService Canada Work-sharing programNRC-IRAP Wage SubsidyEmergency Loans Through CFDCsAmount Requested Status of FundingPlease SelectTo be requestedRequested but not confirmedConfirmedRejected but eligibleRejected as not eligibleHave you applied for another? Yes No Measure / Program NamePlease SelectBusiness Credit Availability Program (BCAP)Canada Emergency Business Account (CEBA)Canada Emergency Commercial Rent Assistance (CECRA) (Received by Landlord)Canada Emergency Wage Subsidy (CEWS)CRA Temporary 10% Wage SubsidyService Canada Work-sharing programNRC-IRAP Wage SubsidyEmergency Loans Through CFDCsAmount Requested Status of FundingPlease SelectTo be requestedRequested but not confirmedConfirmedRejected but eligibleRejected as not eligibleIf your business, organization (or organizations you support) is experiencing undue hardship due to the impacts of the COVID-19 pandemic, please detail the hardship that you (or the organizations you support) are experiencing:(maximum 2,500 characters)Is your business or organization (or organizations you support) unable to access sufficient operating lines or credit facilities from your existing bank/commercial lender?* Yes No If yes, please detail the financial hardship that you (or organizations you are serving) are experiencing, including your inability to secure credit from other institutions and reasons why this credit cannot be secured:(maximum 2,500 characters)Has your business/organization (or organizations you are serving) had to close or cease operations due to a public health request or COVID-19 measures* Yes No If yes, specify the date that your business closed or ceased operations:(YYYY-MM-DD) YYYY dash MM dash DD If you were closed, but have since resumed operations, please specify date of resuming operations(YYYY-MM-DD) YYYY dash MM dash DD Number of Full-Time Equivalent Jobs ImpactedNumber of organizations impacted(If Applicable)With this financial support being requested, are you attempting to avoid permanently closing your business/organization (or organizations you support)?* Yes No Financial InformationPlease attach your last two years Profit and Loss Statement ( Income Statement) and Balance Sheet with your application (In house YTD is acceptable) Drop files here or Select files Max. file size: 128 MB. Is your business or organization currently in arrears on any outstanding debt?* Yes No Please include rent and CRA payable in the amounts you list Please describe the main activities that you will undertake with the requested financial support and outline the objective(s) of the funding.*(maximum 2,500 characters) ResultsEconomic Benefits*Please estimate the number of full-time equivalent jobs to be maintained as a result of this funding:Please enter a number greater than or equal to 0.The Government of Canada recognizes that many under-represented groups face unique economic challenges and may be disproportionately affected by the COVID-19 crisis. If your business or organization does not meet the definitions provided or you do not wish to declare your status, leave the fields blank.If applicable, please indicate if your business or organization is led or majority led by one or more of the following under-represented groupsWomenIndigenous PeoplesMembers of Official Language Minority CommunitiesYouthPersons with DisabilitiesNewcomers to CanadaVisible MinoritiesLGBTQ2+OtherOther please specificymaximum 200 characters If applicable, please indicate if your organization will influence any of the following federal inclusive growth priorities:WomenIndigenous PeoplesMembers of Official Language Minority CommunitiesYouthPersons with DisabilitiesNewcomers to CanadaVisible MinoritiesLGBTQ2+OtherOther please specificymaximum 200 characters • Please attach the following documentation to accompany this application by using the Add Attachments button: • Historical financial statements for the last two (2) fiscal years • The most recent interim financial statement • Incorporation Documents or Business License • Drivers License or passport for identification Add Attachment Drop files here or Select files Accepted file types: jpg, pdf, doc, Max. file size: 128 MB. CertificationOn behalf of the Applicant, I hereby acknowledge and certify that: I have read and understand this request for support and will submit all the required information with this proposal. I understand incomplete applications cannot be assessed easily and may be deemed ineligible. I have authority to submit this request for support on behalf of the Applicant. The information provided herein is complete, true and accurate. I make this attestation acknowledging that making a false state mentor providing misleading information may result in the Minister exercising any remedy available to him/her at law. Any other information given in the future in connection with the carrying out of the activities will also be complete, true and accurate. The information provided regarding funding from other federal COVID-19 support measures/programs is accurately recorded in this application. The revenue and fixed operating costs amounts provided on this application form are accurate. Financial assistance from CFHuron is a significant factor in the decision to proceed, and I authorize CFHuron to make credit checks or other inquiries it deems necessary to evaluate this request. I agree to provide any further information that may be required for CFHuron to make a decision. Costs incurred by the Applicant in the absence of a signed agreement with CFHuron are incurred at the sole risk of the Applicant and any such costs may not be considered eligible for CFHuron assistance. CFHuron, its officials, employees, agents and contractors may share this request for support and/or make inquiries of such persons, firms, corporations, federal, provincial and municipal government departments/agencies, and not-for-profit, economic development or other organizations as may be appropriate, and to share information with them, as CFHuron deems necessary in order to assess this request for support or to refer the application. Information provided to CFHuron will be treated in accordance with the Access to Information Act and the Privacy Act. These laws govern the use, protection and disclosure of personal, financial and technical information by federal government departments and agencies. Information provided to CFHuron is secured from unauthorized access. The Applicant has not engaged any person to solicit financial assistance for a commission, contingency fee or other form of consideration dependent upon the approval of this application for financial assistance. Any person who has been lobbying on behalf of the Applicant to obtain financial support as a result of this request is registered pursuant to the Lobbying Act and was registered pursuant to that Act at the time the lobbying occurred. Where the lobbying duties of the employees of the Applicant constitute a significant part of the employee’s duties, the Applicant is in compliance with the Lobbying Act. Any former public office holder or public servant employed by the Applicant is in compliance with the provisions of the Values and Ethics Code for the Public Sector, the Policy on Conflict of Interest and Post-Employment and the Conflict of Interest Act. The Applicant agrees to comply with the Official Languages Act as may be required, specifically where activities involve services tour activities with the public. As part of its assessment process, CFHuron requires that all applicants conform with the Impact Assessment Act (2019). As a sole proprietor, I attest that my taxes are up to date I agree to the above statements* Name of Officer with Signing Authority for the Organization* First Title* Date*YYYY-MM-DD YYYY dash MM dash DD Would you allow use of your name for CFP promotional purpose?* Yes No Share this:TwitterFacebookLinkedInPrintLike this:Like Loading...
