Form Center

2. 
3. Economic Development Department

   776 NE 125 Street
   North Miami, FL 33161
   305-895-9801
   economicdev@northmiamifl.gov
   NorthMiamiFL.gov/EconomicDev

5. Program Overview

   The City of North Miami Economic Development Department proudly supports small businesses through the Economic Development Small Business Grant. Funded by the Community Development Block Grant (CDBG), this initiative is designed to help support our vibrant local economy by expanding access to funding options that enable small businesses to grow and thrive. The program provides a reimbursement of up to $7,500 to eligible for-profit and nonprofit businesses within the City.

7. Applicant Information

   Please provide the following information:

9. Name*
10. Email Address*
12. Mailing Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Secondary Phone Number (if applicable)*
21. Number of Household Members*
22. Annual Household Income Amount*
24. Date of Birth*
26. Business Information

    Please provide the following information:

28. Business Name*
29. Email Address*
31. Business Address*
33. City*
34. State*
35. Zip Code*
37. Business Phone Number*
38. How many employees does your business have? (Including yourself)*
40. Describe your business. What services or products do you sell?*
42. Project Information

    Please provide the following information:

44. Amount Requested*
46. What is the total cost of your Project? Please make sure that you itemize all your expenditures.*
48. Required Documents at the Time of Submittal

    Please upload the required documentation:

50. Letter of Intent (describing the proposed project and estimated costs). See attached sample.*
51. UEI number SAM.gov*
53. Current copy of a City of North Miami Business Tax Receipt (BTR)*
54. Current copy of a City of North Miami Certificate of Use (CU)*
56. Records of current employees (Full employee name and whether the employee is full time or part time)*
58. Upon the initial screening, the following documents will need to be submitted in person:
60. • Applicant Proof of legal immigration status (For more information visit SAVE)
    • Prior year personal and business tax returns
    • W-9 form
64. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.

66. After you click “Submit,” your application will enter our initial review process. Please allow up to two (2) business days for a member of our department to contact you with next steps and additional information regarding your application.

68. Electronic Signature*
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field