Form Center

City of Danville’s PPE/Services, Outdoor Seating/Curbside/Take-Out, and Marketing and eCommerce Grant Programs

2. Business Details

4. Business Name*

6. Business Type*

   (i.e. Restaurant, Retail, Services, Manufacturing)

7. Date of Application*

9. Business Address*

11. City*

12. State*

13. Zip*

15. Contact Name*

17. Phone Number*

18. Email*

20. Program Selection*

    I am requesting funding for the following program(s). Please check all that apply

    1. Personal Protective Equipment and Services Grant
    2. Outdoor Seating, Curbside Pick-Up, and Take-Out Grant
    3. Marketing and eCommerce Grant
22. Applicant understands that this completed and signed application is only an application and does not constitute a commitment on behalf of the City of Danville to extend credit, grant and or loan funds.

24. Required Documentation
    Please upload all required documentation for each program you are requesting funding. Incomplete application(s) or any missing documentation may delay processing your request.

    Please upload all required documentation for each program you are requesting funding. Incomplete application(s) or any missing documentation may delay processing your request.

26. Grant Application Submission
    This requires 4 total files to be uploaded.

    choi game cau caThis requires 4 total files to be uploaded.

28. PDF Application
    Grant Application (PDF)

    choi game cau caPlease download this application, fill out, and save.

29. Application

31. Required Attachment

    choi game cau caCopy of your City of Danville Business License

32. Required Attachment

    Copy of your completed and signed W-9

34. Required Attachment

    Copy of vendor invoice

36. Please fill out your email below to receive a copy of your submission.

    Please fill out your email below to receive a copy of your submission.

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field