City of Edmonton Window Repair Program Grant Application

Application Form
Personal Information

Your name, contact information, and project information is collected in accordance with 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. This information will be used to administer the Window Repair Program. If you have any questions about the collection and use of your personal information, contact the Program Manager at 780-496-6196, 9th Floor 10111 104 Ave, Edmonton Alberta T5J 0J4. Please note that the name and location of buildings, building details, building designs, grant amounts, and total costs of projects may be released to various organizations, the media and the public in connection with the Window Repair Program.
To be eligible for the Window Repair Program, your business must be located within the Downtown, Chinatown, or North Edge Business Improvement Areas (BIA). Which BIA is your business located in*

Downtown Business Improvement AreaChinatown Business Improvement AreaNorth Edge Business Improvement Area.My business is not located within these Business Improvement Areas
A map of the eligible areas can be found here. If your business is outside of these areas, it is not eligible for the Window Repair Progam.
For other small business programs and grants, please visit edmonton.ca/smallbusiness
Applicant is the:*

Business OwnerTenantAgent of the Property OwnerOther
Applicant Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If the applicant is not the property owner, please fill out the following - Owner Name, Number, Email

Business Information
Business License Number or Exemption*
If you have a valid business exemption, please enter 0000. Please note the City of Edmonton may verify that Business License is in good standing.
Business Name*
Payee: the person or entity who is to be paid the amount. This is who the cheque will be made out to. *
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Type*

Please upload a photo of the broken window, and any/all repair estimates.
Window Needing Repair (photo should include building facade and address if possible.)*

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Repair Quote

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Funding amount requested

Application Form

Personal Information

Business Information

Please upload a photo of the broken window, and any/all repair estimates.

Window Repair Program

Any deviations must be evaluated and approved by the Program Manager. Approval is not guaranteed.