City of Beaverton Form

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Emergency Business Assistance Program Reimbursement Request

  1. IF YOU HAVE ALREADY SUBMITTED FOR 1 MONTH OF RENT, PLEASE DO NOT SUBMIT FOR A SECOND. WE WILL CONTACT YOU SHOULD ADDITIONAL FUNDS BE IDENTIFIED FOR FUTURE PAYMENTS.

    Please use this form to submit your reimbursement request for the Emergency Business Assistance Program. This form may only be accessed by businesses that have a signed letter of commitment from the City of Beaverton for this program. Instructions:

    1. Fill out this form once you have received a signed letter of commitment from the City of Beaverton and have made a lease or mortgage payment on your eligible commercial property on or after March 16, 2020.
    2. Upload your proof of payment. This can be a receipt from the landlord or lender or a copy or photo of your check with all bank account information hidden.
    3. Once received, the City of Beaverton will process reimbursement requests. Payments will be in the form of a check mailed to the mailing address provided in your application and on your letter of commitment.
    4. If funding is available in following months, you may submit additional reimbursement requests by repeating the steps above.
  2. We are working quickly to process it and will contact you if we need any additional information.

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  4. This field is not part of the form submission.