Action Center / Business and Social Service Organizations Can Apply for CARES Act Funding / Monroe County, IN

Business and Social Service Organizations Can Apply for CARES Act Funding

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Coronavirus Relief Funds (CRF) from the United States Treasury have been distributed to the State and may be used for the limited purposes set forth in section 601(a) of the Social Security Act, as added by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act)

The State has made funds available to local governments to assist in Government expenses incurred as well as local business’ expenses incurred as a direct result of the COVID-19 Pandemic.

Guidance from the federal government requires that reimbursement for expenditures be directly related to addressing the COVID-19 pandemic.

Examples of approved expenses for reimbursement:

Cleaning or disinfection supplies
Personal protection equipment
Costs incurred to clean a facility due to COVID-19 - positive employees – that has required your business to shut down albeit temporarily
Costs associated with business model change. (For example: dine in only restaurant to curbside and/or take out.)

ALL requests for reimbursement must include:

Dated and detailed receipt
Explanation of item on receipt (Masks? Disinfectants?)
Verification of payment
Written explanation of how this expense relates directly to COVID-19
A W9 form

Please check our website regularly regarding the CARES Act funding. We are currently starting with allowing the request for up to $20,000 in reimbursement as we do not know the breadth of the requests and or need within our community. If it is determined we have sufficient funds available to allow for additional reimbursements we will do so. SO- CHECK our website and the Commissioners meetings for updates.

SUBMISSION of DOCUMENTS

You will have to send your supporting documents to covid-cares@co.monroe.in.us.

When you submit this form you will be given a case number. Please include that number on your email of your submitted items - detailed receipts, verification of payment, and explanation of relationship to COVID-19 for each item.

If you have questions regarding this form or the CARES Grant, please contact Project Administrator at: 812-272-6355 OR covid-cares@co.monroe.in.us

By submitting this form I verify that I am personally responsible for the accuracy of the information provided and the expenses are accurate and meet the criteria for reimbursement through the CARES Act.

Indiana Finance Authority - Notice for Non-profits and Taxing Units

* Denotes a required field

SECTION 1: INFORMATION

Please Do Not Complete The Following Field

Are you a business*

Yes No

Are you a 501C3*

Yes No

Business/Non Profit Name as filed with the Secretary of State*

Business/Non Profit Tax ID:*

Business/Non Profit address:*

Enter Business phone number and email if appropriate

Business Phone Number*

Business Email*

Name, email and phone number of person submitting the information. * You may be contacted for additional information.

FullName

Email*

Phone Number*

SECTION 2: CONFIRMATION OF EXPECTATIONS

Check to Confirm*

I understand that we may NOT recover expenses that have already been submitted and / or received through: Paycheck Protection Program funding or any other COVID-relief funding source: Local, State, or Federal.

I understand that only COVID-related supplies and purchases made between March 1 and November 30, 2020 are eligible for reimbursement.

I understand Monroe County may request additional documents verifying the expense prior to submission for reimbursement.

Monroe County Government will require financial reimbursement of CARES Act reimbursement funds from the submitting business / nonprofit if it is determined the requested reimbursement was submitted fraudulently

You must retain all documentation five (5) years after receipt of reimbursement date and until the State and County have had a successful SBOA Audit of the documents.

Monroe County, Indiana

Welcoming people from all walks of life.

Business and Social Service Organizations Can Apply for CARES Act Funding

SECTION 1: INFORMATION

Enter Business phone number and email if appropriate

Name, email and phone number of person submitting the information. * You may be contacted for additional information.

SECTION 2: CONFIRMATION OF EXPECTATIONS

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