Birmingham Business Relief Fund Grant Application

Overview of Fund + Eligibility of Funds

The Birmingham Business Relief Fund is a community response to the needs of Birmingham’s small businesses affected by unrest that occurred in downtown Birmingham the night of Sunday, May 31, 2020. With seed money provided by Spire and bolstered by other corporate and individual donors, the fund is a collaborative effort between the City of Birmingham, the Birmingham Business Alliance, REV Birmingham, Urban Impact and the Community Foundation of Greater Birmingham—all committed to helping businesses rebuild and prosper.

Many businesses were already suffering from the effects of the COVID-19 pandemic, and these funds will assist businesses as they rebuild, repair and renew their operations. Repairing physical damage will also be an important step in focusing the public conversation on core issues of systemic racism and positive change.

The establishing partners of the Birmingham Business Relief Fund are committed to supporting all of our community members who are hurting through this inclusive effort. The fund will be housed at the Community Foundation and applications will be reviewed by a panel of representatives from each of the partnering organizations.

This relief fund will prioritize:

Small business or property owners with less than 25 employees
Affected non-profit corporations
Businesses located in downtown Birmingham’s City Center
Businesses headquartered in the City of Birmingham or Jefferson County
Women, minority and disadvantaged owned businesses
Businesses that hold City of Birmingham business licenses
Businesses or owners who have not had their needs met by donations from other funds or campaigns

Thank you to the Birmingham community!
As of June 4, 2020, 193 individuals have made contributions from $5 to $2,000 to support the Birmingham Business Relief Fund. We are grateful to the following corporations for their generous support: Spire, Coca-Cola Bottling United Company, Bridgeworth Financial and Vulcan Materials Company.

Questions?
We welcome your questions and are happy to clarify. Please contact REV’s Director of Recruitment and Growth, Taylor Clark Jacobson at taylor@revbirmingham.org

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* 1. Business Name

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* 2. Address of affected business

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* 3. Contact Person

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* 4. Preferred Phone Number

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* 5. Preferred Email Address

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* 6. How much relief are are you requesting from the Birmingham Relief Fund?

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* 7. What is the extent of your damage? (Check all that apply)

No damage

Cracked/Broken Windows/Doors

Damaged window/door frames

Fire/Water damage to furnishings/product

Signage Damage

Theft of product

Other (please specify)

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* 8. If you have one, please upload a copy of your filed police report.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. How much have you spent out of pocket on repairs to date?

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* 10. Please upload copies of receipts of out of pocket expenses to date.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 11. Have you received an official estimate for repairs? (This is required for consideration.)

Yes

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* 12. What is your estimated cost of repair?

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* 13. Please upload official repair quotes from contractors on letterhead here.

PLEASE NOTE: your application requires documentation of quotes and is not complete until you have submitted formal estimates.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 14. Do you have business insurance?

Yes

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* 15. Please provide a brief description of your coverage. (Use your policy summary sheet for reference.)

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* 16. Please upload a copy of your insurance policy summary sheet detailing your coverage.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 17. Are your needed repairs covered by insurance?

Yes

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* 18. Do you plan to file an insurance claim?

Yes

I have already filed.

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* 19. Please upload documentation of your insurance claim.

PLEASE NOTE: If you have filed a claim, documentation of your filing is required to consider your application complete.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 20. How much is your deductible?

Less than $1,000

$1,000 - $5,000

$5,000 - $10,000

More than $10,000

I don't know

I prefer not to answer

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* 21. How will you pay for repairs?

Insurance claim

Cash reserves (your own)

Credit/Loan

Help from property owner

Donations

I don't know

Other (please specify)

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* 22. Are you soliciting private, community donations (ie: GoFundMe) to pay for your repairs?

Yes

I don't know

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* 23. If you are privately fundraising to pay for repairs, how much have you raised to date?

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* 24. What is your timeline for repair?

Already repaired

Will be repaired this week

Will be repaired within 30 days

Will be longer than 30 days

I don't know

Other (please specify)

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* 25. What disaster relief have you received since April 1?

SBA Economic Injury Disaster Loan

SBA Paycheck Protection

B’ham Strong

CDFI Loan

Traditional Bank Loan

None of the Above

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* 26. Business Type

Single location business

Multiple locations

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* 27. Business location

Headquartered in Birmingham

Headquartered in Alabama

Headquartered outside Alabama

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* 28. Ownership

Woman owned business

Minority owned business

Woman and minority owned business

Neither of the above

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* 29. Size

Less than 5 employees

5-10 employees

11-25 employees

More than 25 employees

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* 30. Please upload at least one picture of the damage your business endured.

At least one photo is required. We encourage you to submit several to best communicate damage.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 31. Please upload at least one picture of the damage your business endured.

At least one photo is required. We encourage you to submit several to best communicate damage.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 32. Please upload at least one picture of the damage your business endured.

At least one photo is required. We encourage you to submit several to best communicate damage.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 33. If receive a grant allocation, where would you like your check mailed?

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *