Town of Hammonton Form

General Information
Name of Applicant*

First NameLast Name
Name of Business*
Address of Business*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person*

First NameLast Name
Work Telephone*
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
Email*
example@example.com
Confirm Email*
example@example.com
Website*
Company Profile
Structure of Business (Check One)*

C-CorporationLimited Liability Co. (LLC)Sole ProprietorshipSub Chapter S CorporationPartnershipTrading As/Doing Business As
Month/year Business was established*
ex: 01/23
Type of Business*
Employee Information
Number of employees*
Full-time*
Part-time*
Financial Need
Brief Description of COVID-related Need*
Estimated lost revenue due to COVID*
Support Information & Statements that will be required
These items are not required for this pre-application. Should you receive an invitation to complete a full application, the following documents will be required:
1. Copy of NJ-WR30 for proof of employees
2. Income tax return for sole proprietorships
3. Copy of Lease
4. Copy of utility bills
5. Real estate tax bill
6. Other Grants or loans received from CARES Grants, Insurance, State Funding or SBA Loans
By submitting this pre-application, the Business certifies that the information and documentation contained in this pre-application is accurate, complete and true to the best of his/her knowledge. The Business also certifies that it has read and understands the summary application guidelines as published on the Township website and required documentation, including the commitment to create, retain or rehire at least one employee
I Agree
Should be Empty:

General Information

Company Profile

Employee Information

Financial Need

Support Information & Statements that will be required