Income and Employee Eligibility Confirmation Form: Disaster Financial Assistance

If you’re a small business applying for disaster financial assistance, you need to submit the Income and Employee Eligibility Confirmation Form. You need to have a chartered professional accountant or licensed public accountant complete the form.

Use the Income and Employee Eligibility Confirmation Form to confirm your revenue and number of full-time employees. You need to submit the form as part of the disaster financial assistance application process.

Who can use this form

Small businesses need to submit the Income and Employee Eligibility Confirmation Form as part of the disaster financial assistance application process. You need to have a chartered professional accountant or licensed public accountant complete the form on your behalf.

Before you start

Make sure you have:

  • name of applicant
  • gross revenue for 2018
  • total hours or days worked by employees (full-time and part-time) for 2018

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