Small Business Energy Improvement Grant Application
Business Information
Business Name
Owner/Authorized Representative Name
Business Address
Contact Email
Contact Phone
Eligibility
Type of Business
Years in Operation
Number of Employees
Project Details
Description of Energy Improvement Project
Project Goal and Expected Outcomes
Estimated Project Cost
Amount of Grant Requested
Supporting Information
Energy Usage Information (e.g., past utility bills)
Additional Relevant Information
Declaration
I certify that the information provided is accurate and complete.