Red Rock Recovery Fund: Small Business Assistance Grant Application ($5,000)

Red Rock Recovery Fund: Small Business Assistance Grant Application ($5,000)

Complete this one-page application to request a $5,000 grant for eligible small businesses impacted by the Pocket Fire. Grant applications close Friday, August 28th. Grants are paid by check. Funds are limited; qualifying does not guarantee an award. Click here to see the designated impact area: https://sedonachamber.growthzoneapp.com/ap/CloudFile/Download/LbB4yAjL
Business Information
Legal business name
DBA / trade name
Employer identification number
Business structure
Date business established / registered

MonthDayYear
Date
Number of employees at time of disaster
Owner and contact
Owner full name

First NameLast Name
Owner title / role
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Conflict of interest disclosure
Location and operation
Business physical street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
ZIP code
Was the business open and operating at the time of the disaster?
How was your business impacted by the Pocket Fire? (Select all that apply.)

Other
Dates closed or impacted

MonthDayYear
Date
Economic loss
Gross revenue, June 19–July 18, 2025
Gross revenue, June 19–July 18, 2026
Brief description of loss
Insurance and other assistance
Do you have business-interruption or property insurance covering this loss?
Insurance claim status
Expected insurance payment amount (USD)
Other disaster assistance applied for or received
Payment by check
Check payee name
Mailing address for check

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Document uploads
Upload One Proof of Location and Active Operation. Acceptable Documentation includes a business license, lease agreement, utility bill, Arizona TPT license, or other official documentation.

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Upload Business Revenue Documentation for June 19 – July 19, 2026, and June 19 - July 19, 2025. Acceptable documentation includes point-of-sale reports, accounting software reports, sales summaries, or other financial records that clearly demonstrate revenue for the requested periods.

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Completed W-9

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Owner government-issued Photo ID

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Attestations
Attestation 1: The information provided is true and complete
Attestation 2: My loss is not fully covered by insurance or other assistance, and this grant will be applied to uncovered loss
Attestation 3: This grant will not duplicate benefits from insurance, FEMA, SBA, or other assistance
Attestation 4: No owner or immediate family member is a Foundation board member, committee member, Fund donor, or staff member
Attestation 5: I have submitted only one application across all businesses I own
Attestation 6: I understand this grant may be taxable income to my business, and I will consult a tax advisor
Attestation 7: I understand funds are limited and qualifying does not guarantee an award
Attestation 8: I agree to repay the grant if these attestations prove false
E-signature
Date

MonthDayYear
Date
Should be Empty:

Red Rock Recovery Fund: Small Business Assistance Grant Application ($5,000)

Business Information

Owner and contact

Location and operation

Economic loss

Insurance and other assistance

Payment by check

Document uploads

Attestations