IndieCares Grant Application

IndiePet's IndieCares Disaster Relief Fund

Grant Application
The IndieCares Disaster Relief fund has been established to provide timely, fair, and equitable financial assistance to qualified independent pet retailers whose businesses have been negatively impacted by natural disasters. Disbursements are based on verified need and limited by available funds.

If you are an independent pet retailer who's business has been negatively impacted by a natureal disaster such as flood, hurricane, fire, or other act of nature, and you are seeking interim relief to cover costs not covered by other sources such as insurance, FEMA or other grants, please complete this application.

APPLICATION AND DOCUMENTATION
Applications must be completed in full, signed and include required documentation.

Incomplete applications will not be considered.

Additional documentation may be requested including: Proof of physical or operational damage and financial loss or hardship, proof of insurance, insurance claim denial, FEMA/local disaster report, or financial records.

Do you meet eligibility requirements?
Is this a Qualified Natural Disaster? The disaster must be officially declared at the local, state, or federal level. Examples include, but may not be limited to: hurricanes, wildfires, floods, earthquakes, tornadoes, and severe winter storms.

YesNo
Is your business a Qualified Business? Business is an independent pet retail brick & mortar business in regular operation prior to disaster event.

YesNo
- Priority given to businesses with less than $5M annual revenue and fewer than 50 employees.
- If multiple locations of an individual business are affected, application may be made for each affected location.
Has the Business Impact Threshold been met? Significant disruption or loss of regular business operations due to disaster event. Check all that apply.

Physical damage to retail location that requires closure of 48 hours or more.Mandatory evacuation ordered by authorities that requires closure of 48 hours or more.Inventory loss due to disaster-related causes.Extended utility outages (power, water, internet) due to disaster that disrupt regular business operations.

Permitted and non permitted use of funds if granted
Grant funds may be used for:
- Rent and utilities
- Employee payroll
- Inventory replacement
- Temporary relocation or restoration of business operations
Grant funds may NOT be used for:
- Personal expenses unrelated to the affected business
- Debt payments unrelated to the disaster impact.

I meet eligibility requirements and understand what grant funds may and may not be used for.
Business Name
Store Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Name

First NameLast Name
Your title or role with the business
Upload your business logo

Cancelof
Email
example@example.com
Phone Number
Please enter a valid phone number.
Is your mailing address different than your store address?

YesNoTemporarilyOther
Mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Was your store fully operational prior to the disaster event?

YesNo
Do you have more than one retail location that was affected?

NoYes
Please complete a separate application for each affected location.
Describe in detail nature of the disaster and how your business has been affected:
Enter the amount you are applying for*
*Grants will be disbursed based on eligibility AND the amount of funds available at the time of the request.
Describe in detail how funds, if granted, would be used:
ACCOUNTABILITY AND REPORTING
Grant agreement. Each recipient of a grant must sign a Grant Agreement indicating their understanding of the allowable use of funds. (See section on Use of Funds)

Impact report. A brief report (1 page or equivalent) is required within 60 days of receiving funds describing how the funds were used and the recovery status of the business.
Signature

Clear
Date

MonthDayYear
Date
File Upload

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Evaluation of grant application. Each application will be reviewed and evaluated by the IndieCares Grant Committee who will make a determination of grant eligibility based on the following:
- Extent of Disaster Impact. Severity or degree of physical or operational damage. Duration of business closure.
- Financial Hardship. Demonstrated financial strain not fully covered by insurance or other sources.
- Available funds. The availability of funds may be used as consideration when evaluating grant applications.
- Disbursement. Funds for approved grants will be disbursed via direct deposit on a rolling basis as needs arise and funds are available.
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IndiePet's IndieCares Disaster Relief Fund