Program Questions:
Mid-Hudson Momentum Fund (MHMF)

Q_14681

Has the applicant reviewed the Mid-Hudson Momentum Guidelines and understand eligibility, selection criteria, grant amounts and the required 50% match?
  • Threshold
  • Yes
  • Yes/No

Q_14624

Is your project located in the Mid-Hudson region?
  • Threshold
  • Yes
  • Yes/No

Q_14621

Are you applying for at least $2,500,000, but no more than $10,000,000?
  • Threshold
  • Yes
  • Yes/No
  • Only minimum grant requests of $2,500,000 or more will be considered for funding. Potential funding will not exceed $10,000,000.

Q_3115

Does the proposed project budget only include capital expenditures? By selecting yes, you are confirming that project funding will only be used for one or more of the following categories:

- Acquisition of land, building, machinery and/or equipment
- Acquisition of existing business and/or assets;
- Demolition and environmental remediation;
- New construction, renovation or leasehold improvements;
- Acquisition of furniture and fixtures; and
- Soft costs up to twenty-five percent (25%) of total project costs;
  • Threshold
  • Yes
  • Yes/No

Q_3116

Have any of the expenses for this project (or, in the case of a multi-phase project, the phase of the project for which funds are being requested) been incurred or are expected to be incurred prior to an award of funding?
  • Threshold
  • Yes
  • Yes/No
  • ESD funding awards are offered as an incentive to undertake a project. Therefore, ESD cannot consider assistance for project activities commenced or committed to (such as ordering machinery and equipment and committing to land purchase) prior to the announcement of funding awards. In addition, investment and expenses incurred prior to submission of a CFA should not be included in project budgets. By selecting no, you are confirming that project activity (or, in the case of a project with multiple stages, activity for the project stage described in this application) will not commence or be committed to prior to the announcement of funding awards.  If your project has extenuating circumstances that present a conflict with this requirement, please contact your ESD Regional Office.

Q_3118

Does the proposed project budget include a 10% cash equity contribution from the Applicant?
  • Threshold
  • Yes
  • Yes/No
  • Equity is defined as cash injected into the project by the Applicant or by investors and should be auditable through Applicant financial statements or accounts, if so requested by ESD.  Equity cannot be borrowed money secured by the assets in the project or grants from a government source.

     

     

Q_6702

Will the funds be used by the recipient (applicant) to create a program to disburse funds to sub-recipients?
  • Threshold
  • Yes
  • Yes/No
  • Block grant projects and revolving loan funds are not eligible to apply for ESD Grant funds.

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).
  • Location
  • Yes
  • Short Answer

Q_565

Project City
  • Location
  • Yes
  • Short Answer

Q_568

Project State
  • Location
  • Yes
  • Single Choice Dropdown
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI
  • AA

Q_1034

Project ZIP Code. (please use ZIP+4 if known)
  • Location
  • Yes
  • Zip Code
  • To locate a Zip Code, click HERE

     

     

Q_972

Project county or counties.
  • Location
  • Yes
  • NYS County Multiple Choice

Q_616

For more than one project location, please provide full address(es) for each location. If Not Applicable, indicate "NA".
  • Location
  • Yes
  • Long Rich Text (HTML)
  • 1 - 200

Q_572

Project Latitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_573

Project Longitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_184

NYS Assembly District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Integer

Q_190

NY Senate District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Integer

Q_3527

US Congressional District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Single Choice Dropdown
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27
  • To determine the US Congressional District, click HERE

Q_12603

Is the applicant a DBA?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_550 will be displayed

Q_550

What is the applicant's DBA name?
  • Basic
  • Yes
  • Short Answer

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Basic
  • Yes
  • Single Choice Radio Button
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number,NYS Vendor Identification Number (SFS),Employee Identification Number (EIN),Unique Entity Identifier (UEI)
  • Applicants will be required to provide the specified ID number upon request by the funding agencies.

Q_2655

Based on your selection from the previous question, enter the associated ID number.
  • Basic
  • Yes
  • Short Answer

Q_546

Organization Legal Name
  • Applicant Information
  • Basic
  • Yes
  • Short Answer
  • If applying in the name of a business please type in the name as it appears on your business papers. If applying as an individual insert your name here.

Q_5416

Applicant First Name
  • Basic
  • Yes
  • Short Answer

Q_5417

Applicant Last Name
  • Basic
  • Yes
  • Short Answer

Q_551

Applicant Street Address
  • Basic
  • Yes
  • Short Answer

Q_552

Applicant City
  • Basic
  • Yes
  • Short Answer

Q_553

Applicant State
  • Basic
  • Yes
  • State Dropdown

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code
  • To look up a zip code, click HERE

Q_651

Applicant Telephone Number (please include area code)
  • Basic
  • Yes
  • Phone

Q_555

Applicant Email Address
  • Basic
  • Yes
  • Email

Q_5257

Contact Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_547

Contact First Name
  • Basic
  • Yes
  • Short Answer

Q_1049

Contact Last Name
  • Basic
  • Yes
  • Short Answer

Q_1050

Contact Title
  • Basic
  • No
  • Short Answer

Q_5490

Primary Organization
  • Basic
  • No
  • Short Answer

Q_3688

Contact Street Address
  • Basic
  • Yes
  • Short Answer

Q_3689

Contact City
  • Basic
  • Yes
  • Short Answer

Q_3690

Contact State
  • Basic
  • Yes
  • State Dropdown

Q_3691

Contact ZIP Code (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code

Q_562

Primary Contact Phone Number. (please include area code)
  • Basic
  • Yes
  • Phone

Q_3692

Contact Email
  • Basic
  • Yes
  • Email

Q_5475

Contract Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First
  • Basic
  • Yes
  • Short Answer

Q_5477

Contract Last
  • Basic
  • Yes
  • Short Answer

Q_5478

Contract Title
  • Basic
  • No
  • Short Answer

Q_5491

Authorized Organization
  • Basic
  • No
  • Short Answer

Q_5479

Contract Street
  • Basic
  • Yes
  • Short Answer

Q_5480

Contract City
  • Basic
  • Yes
  • Short Answer

Q_5481

Contract State
  • Basic
  • Yes
  • State Dropdown

Q_5482

Contract Zip (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code

Q_5483

Contract Phone (please include area code)
  • Basic
  • Yes
  • Phone

Q_5484

Contract Email
  • Basic
  • Yes
  • Email

Q_5493

Additional Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_1052

Additional Project Contact First Name
  • Basic
  • No
  • Short Answer

Q_970

Additional Project Contact Last Name
  • Basic
  • No
  • Short Answer

Q_1051

Additional Contact Title
  • Basic
  • No
  • Short Answer

Q_5492

Additional Organization
  • Basic
  • No
  • Short Answer

Q_3693

Additional Contact Street Address
  • Basic
  • No
  • Short Answer

Q_3694

Additional Contact City
  • Basic
  • No
  • Short Answer

Q_3695

Additional Contact State
  • Basic
  • No
  • State Dropdown

Q_3696

Additional Contact ZIP (please use ZIP+4 if known)
  • Basic
  • No
  • Zip Code

Q_3697

Additional Contact Telephone Number (please include area code)
  • Basic
  • No
  • Phone

Q_561

Additional Contact Email Address
  • Basic
  • No
  • Email

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Recreation,Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.
  • Project Description
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 1200
  • Please include details relevant to all programs on this application. Programs on this application are: {{program_list}}

Q_976

Statement of need: Provide a brief summary of the need for the project in the geographic area proposed and the project's financing needs, including funding gaps of the proposed project.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 850
  • Provide a brief summary of the need for the project in the geographic area proposed, the project's financing needs, including funding gaps and, where applicable, describe the additional short and long term jobs that will be created through the development of the proposed project.

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)
  • Basic
  • Yes
  • Short Answer

Q_975

Estimated Project Timeline: include project start/completion dates, estimates for design, permitting and construction or other major steps.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 850

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".
  • Basic
  • Yes
  • Long Answer
  • 1 - 400

Q_12606

Does this project require State and/or Federal Environmental Review?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_2364
      - Q_12607

Q_2364

What is the status of State and/or Federal Environmental Review?
  • Basic
  • No
  • Short Answer

Q_12607

Please indicate the lead agency (if applicable).
  • Basic
  • No
  • Short Answer

Q_12604

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_1054 will be displayed

Q_1054

Please explain decision and include date of Record of Decision.
  • Basic
  • No
  • Long Rich Text (HTML)
  • 0 - 850

Q_12625

Has the applicant or project been awarded funding in prior CFA rounds?
  • Prior CFA Funding
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_2362 will be displayed

Q_2362

What were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)
  • Basic
  • No
  • Short Answer

Q_4160

For each program to which you are applying under the CFA, explain your strategy for proceeding if the full amount of requested funding, required matching funds, and temporary financing are not secured as expected, or committed sources become unavailable.This explanation must address any proposed project phases, and both CFA and non-CFA sources of funds.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 5000

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )
  • REDC
  • Yes
  • Long Answer
  • 1 - 1000
  • Describe how the proposed project advances the REDC/URI plan for the region, specifically linking the project to the region’s goals, strategies, and targeted industry clusters. A response to this question should directly and specifically link the project to a section or sections of REDC/URI plan for the region.

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.
  • REDC
  • Yes
  • Long Answer
  • 1 - 1000
  • The REDC and Upstate Revitalization Initiative’s (URI) are designed to support projects that will help transform the region’s economy. Applicants seeking these resources should explain why the project is a priority for the region. Providing details on the impact of the project such as the ability to create net new high paying jobs, the extent of private sector support, the impact it has on the community, and how the project will advance, in a meaningful way, the implementation of the REDC/URI plans, will help the REDCs and state during review.

Q_15561

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide interim financials for 2024, certified by a company officer. For publicly traded companies, please provide the most recent Form 10-Q.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for interim 2024.
  • Attach interim financials for 2024
  • Attachment
  • Yes
  • Attachment

Q_15562

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2023. For publicly traded companies please provide Form 10-K for 2023.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2023.
  • Attach 2023 financial documents.
  • Attachment
  • Yes
  • Attachment

Q_14821

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2022. For publicly traded companies please provide Form 10-K for 2022.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2022.
  • Attach 2022 financial documents.
  • Attachment
  • Yes
  • Attachment

Q_14820

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2021. For publicly traded companies please provide Form 10-K for 2021.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2021.
  • Attach 2021 financial documents.
  • Attachment
  • Yes
  • Attachment

Q_14645

For all organizations and entities, provide financial projections for 10 years.
  • Attachment
  • Yes
  • Attachment

Q_14774

Please attach bios and resumes for all principals in the project in PDF format.
  • Attachment
  • Yes
  • Attachment

Q_2331

Attach an organizational chart and/or description of ownership structure including the percentage of ownership for each individual entity.
  • Attachment
  • Yes
  • Attachment
  • For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide an organizational chart and/or description of ownership structure, including the percentage of ownership for each individual/entity. If the company is a parent, subsidiary and/or affiliate of another company, please provide a description of the relationship. Additional financial information may be requested

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 30 Megabytes (MB).
  • Attachment
  • No
  • Attachment

Q_2332

Attach a short or long Environmental Assessment Form

Project review pursuant to the State Environmental Quality Review Act (SEQRA) must be completed prior to the award of any state funds. For projects classified as Type I or Unlisted actions, submit a short or long Environmental Assessment Form. See "View Help" for links to forms.

Q_2333

If review of the project has been completed pursuant to State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please submit the Negative Declaration or Findings Statement, or Finding of No Significant Impact or Record of Decision.
  • Attachment
  • No
  • Attachment

Q_12601

Has an application been submitted to this program for this project already?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_12602 will be displayed

Q_12602

What was the application number? List multiple application numbers using commas to separate.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 1000

Q_14623

Is the applicant organization a subsidiary?
  • Applicant and Beneficiary Information
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_14625
      - Q_14626
      - Q_14627
      - Q_14628
      - Q_14629

Q_14625

Parent Company name:
  • Standard Question
  • Yes
  • Short Answer

Q_14626

Parent Company Street Address:
  • Standard Question
  • Yes
  • Short Answer

Q_14627

Parent Company City:
  • Standard Question
  • Yes
  • Short Answer

Q_14628

Parent Company Zip:
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 5 - 10

Q_14629

Parent Company County:
  • Standard Question
  • Yes
  • NYS County Single Choice

Q_14630

Is the applicant applying on behalf of another organization or entity that will be the recipient of, or that will benefit from, the award if funds are awarded to the project?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_14631
      - Q_14632
      - Q_14634
      - Q_14635
      - Q_14636
      - Q_14637
      - Q_14638
      - Q_14639
      - Q_14640
      - Q_14641
      - Q_14642
      - Q_14643
      - Q_14644
      - Q_14645

Q_14631

Beneficiary Legal Organization Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14632

Is the beneficiary a DBA?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_14633 will be displayed

Q_14633

Beneficiary DBA Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14634

Beneficiary Street Address:
  • Standard Question
  • Yes
  • Short Answer

Q_14635

Beneficiary City:
  • Standard Question
  • Yes
  • Short Answer

Q_14636

Beneficiary Zip:
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 5 - 10

Q_14637

Beneficiary County:
  • Standard Question
  • Yes
  • NYS County Single Choice

Q_14638

Beneficiary Contact First Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14639

Beneficiary Contact Last Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14640

Beneficiary Contact Job Title:
  • Standard Question
  • Yes
  • Short Answer

Q_14641

Beneficiary Contact Phone:
  • Standard Question
  • Yes
  • Phone

Q_14642

Beneficiary Contact Email:
  • Standard Question
  • Yes
  • Email

Q_14643

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number,NYS Vendor Identification Number (SFS),Employee Identification Number (EIN),Unique Entity Identifier (UEI)

Q_14644

Based on your selection from the previous question, enter the associated ID number.
  • Standard Question
  • Yes
  • Short Answer

Q_14646

Is the Beneficiary company a subsidiary?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_14647
      - Q_14648
      - Q_14649
      - Q_14650
      - Q_14651

Q_14647

Beneficiary Parent Company Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14648

Beneficiary Parent Company Street Address:
  • Standard Question
  • Yes
  • Short Answer

Q_14649

Beneficiary Parent Company City:
  • Standard Question
  • Yes
  • Short Answer

Q_14650

Beneficiary Parent Company Zip:
  • Standard Question
  • Yes
  • Long Answer
  • 5 - 10

Q_14651

Beneficiary Parent Company County:
  • Standard Question
  • Yes
  • NYS County Single Choice

Q_14653

Please select the type of business that will enter into a contract, if funding is awarded.
  • For all questions below, the term 'organization' or 'entity; refers to the organization or entity that would benefit and receive the funding if the project is awarded.
    If the applicant is applying on behalf of another entity or organization, please provide answers for the beneficiary organization.
    If the applicant is also the beneficiary (not applying on behalf of another organization) please provide answers for the applicant organization.
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • Sole Proprietorship, Limited Liability Company, Partnership, Subchapter S Corporation, Business Corporation, Not-for-Profit Corporation, Local Development Corporation, Industrial Development Agency, Municipality, Other Public Entity

Q_14654

Is the organization or entity New York State certified as minority-owned or woman-owned?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_14655 will be displayed

Q_14655

Please enter the New York State certification number.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 0 - 30

Q_14656

Is the organization a manufacturer?
  • Standard Question
  • Yes
  • Yes/No

Q_14657

Provide all the North American Industrial Classification (NAICS) numbers used to classify each type of the organization's business activity. If more than one NAICS code, separate by commas.
  • Standard Question
  • Yes
  • Short Answer

Q_14658

Describe in detail the qualifications of the organization to undertake this project, including the organization's experience with projects of similar size and scope.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 0 - 1000

Q_14768

Is your project located on a Brownfield site?
  • Project Specific Details
  • Standard Question
  • Yes
  • Yes/No

Q_14769

Has the project site secured land-use entitlements?
  • Standard Question
  • Yes
  • Yes/No

Q_14770

Is the applicant seeking historic tax credits for this project?
  • Standard Question
  • Yes
  • Yes/No

Q_14771

Has the applicant applied for assistance through Homes and Community Renewal (HCR)?
  • Standard Question
  • Yes
  • Yes/No

Q_14772

Has a developer been identified for this project?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_14773 will be displayed

Q_14773

If so, please provide the developer’s information.
  • Standard Question
  • Yes
  • Long Answer
  • any

Q_14659

Project Type
  • Project Specific Details

    “Mixed-Use Housing” shall mean buildings that include a combination of commercial, office, retail, and residential uses.

    “Transit-Oriented Development” and "TOD" shall mean projects that support the creation of compact, mixed-use communities near transit where residents enjoy easy access to jobs and services.
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Mixed-Use Housing/TOD, Infrastructure
    1. If Infrastructure is selected then Q_14679 will be displayed

Q_14660

How many units of housing will be created?
  • Standard Question
  • Yes
  • Integer

Q_14661

How many units of housing will be affordable?

“Affordable Housing Units” shall mean permanent housing that is affordable to low-and moderate-income households, such that the new housing achieves income averaging at or below fifty percent of the area median income, with residents’ eligibility capped at a maximum of eighty percent of the area median income at the start of their lease.
  • Standard Question
  • Yes
  • Integer

Q_14662

Number of Housing Units Being Created Up to 30% Area Median Income Studio
  • Standard Question
  • Yes
  • Integer

Q_14663

Number of Housing Units Being Created 30%-60% Area Median Income Studio
  • Standard Question
  • Yes
  • Integer

Q_14664

Number of Housing Units Being Created 60%-80% Area Median Income Studio
  • Standard Question
  • Yes
  • Integer

Q_14665

Number of Housing Units Being Created Market Rate Studio
  • Standard Question
  • Yes
  • Integer

Q_14666

Number of Housing Units Being Created Up to 30% Area Median Income 1 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14667

Number of Housing Units Being Created 30%-60% Area Median Income 1 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14668

Number of Housing Units Being Created 60%-80% Area Median Income 1 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14669

Number of Housing Units Being Created Market Rate 1 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14670

Number of Housing Units Being Created Up to 30% Area Median Income 2 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14671

Number of Housing Units Being Created 30%-60% Area Median Income 2 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14672

Number of Housing Units Being Created 60%-80% Area Median Income 2 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14673

Number of Housing Units Being Created Market Rate 2 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14674

Number of Housing Units Being Created Up to 30% Area Median Income 3 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14675

Number of Housing Units Being Created 30%-60% Area Median Income 3 Bedroom
  • Standard Question
  • Yes
  • Integer

Q_14676

Number of Housing Units Being Created 60%-80% Area Median Income 3 Bedroom and More
  • Standard Question
  • Yes
  • Integer

Q_14677

Number of Housing Units Being Created Market Rate 3 Bedroom and More
  • Please complete the breakdown below for the number of units being created. This should align with the two housing unit questions and answers prior to this table.
  • Standard Question
  • Yes
  • Integer

Q_14678

Fully describe any commercial, industrial, or other components of the projects including end users, square footage, future hotel or convention center, etc.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 0 - 1000

Q_14679

Essential infrastructure projects must show a defined connection to housing projects or increasing housing density for a particular community. This could include new system installations or upgrades for water, roads, green renewable technologies (e.g. EV charging stations) or other similar costs. Applicants for infrastructure projects funding must draw a clear connection between the project and the support of increased housing or TOD projects.

Describe how your project meets the requirements mentioned above.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • any

Q_12654

Has the applicant applied for and/or been awarded funding from other New York State or local entities for this project?
  • Project Funding and Finance Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12655
      - Q_13264

Q_12655

Please detail the funding applied to for this project and the entity administering the funding. Do not include funding that has been awarded.
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 850

Q_13264

Please detail the funding awarded to this project and the entity administering the funding.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_13265

Has the applicant applied to and/or been awarded funding from a local IDA?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_13266
      - Q_13267

Q_13266

Please detail the funding applied for this project and the entity administering the funding. Do not include funding that has been awarded.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_13267

Please detail the funding awarded to this project and the entity administering the funding.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_1409

What is the first project year? (e.g. the year equipment will be ordered or when first expenditures are expected to be made)
  • Standard Question
  • Yes
  • Short Answer

Q_5719

Does the project site involve or is it substantially contiguous to a property listed or recommended for listing in the NY State or National Registers of Historic Places? Consult the National Register Information System to find out if a property is listed. Or use the Cultural Resource Information System (CRIS) tool .
See question requirements for more information on SHPO consultation.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A
    1. If Yes is selected then Q_5721 will be displayed
  •  If "yes", the project requires consultation with the State Historic Preservation Office (SHPO). 

Q_5721

Please identify the name of the resource, explain the status of the SHPO consultation, and if consultation is complete, please provide a link to SHPO's Letter of Determination of No Adverse Effect or Letter of Resolution to Mitigate Adverse Effect.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 600

Q_14680

Does the project site contain or is it substantially contiguous to buildings that are more than 50 years old and/or buildings/lands that are known to be historically, architecturally, or culturally significant?
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Yes/No

Q_5720

Is the project site wholly or partially included within an identified archeologically sensitive area?
Consult the National Register Information System to find out if a property is listed. Or use the Cultural Resource Information System (CRIS) tool to identify archeologically sensitive areas.
See question requirements for more information on SHPO consultation.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A
    1. If Yes is selected then Q_5722 will be displayed
  •  If "yes", the project requires consultation with the State Historic Preservation Office (SHPO). 

     

     

     

     

     

     

Q_5722

Please list the geographic information for the archeologically sensitive areas, explain the status of SHPO consultation, and if consultation is complete, please provide a link to SHPO's Letter of Determination of No Adverse Effect or Letter of Resolution to Mitigate Adverse Effect.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 600

Q_6069

Does your application contain 1) trade secrets, (2) information that, if disclosed, would cause substantial injury to the competitive position of your organization, or (3) critical infrastructure information? (All efforts should be made to provide such Information in the questions marked as “restricted.”)
  • Other Project Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_6070 will be displayed
  • Applications to the State, including their accompanying documents, are subject to the Freedom of Information Law (FOIL) found in Article 6 of the N.Y. Public Officer Law. FOIL provides that certain records are exempt from disclosure, including those that contain (1) trade secrets, (2) information that, if disclosed, would cause substantial injury to the competitive position of your organization, or (3) critical infrastructure information. Records may be redacted to protect only the portions of documents that fall within a FOIL exemption. An entire document may not be withheld if only a portion of the document is exempt from disclosure. Blanket assertions that information is a trade secret, confidential, or proprietary are insufficient to justify withholding information under FOIL. The identified information will be reviewed and a determination will be made as to whether the information is exempt from disclosure under FOIL.  The State’s determination may be appealed pursuant to POL §89(5)(c). Pursuant to POL §87(2)(b), the State will redact information that “if disclosed would constitute an unwarranted invasion of personal privacy.”

     

Q_6070

Please identify the Question # and specific language for those portions of your application and accompanying documents you believe fall under these exemptions, and provide a detailed justification for the exemption from disclosure. See 'Click Here for Question Requirements' for formatting and additional information.
  • Other Project Questions
  • Standard Question
  • Yes
  • Long Answer
  • 0 -
  •  Examples:

     

    Q_1234 - The information provided in Line 6 includes the vendor, equipment specifications and a cost structure that will give “John Smith’s Manufacturing Inc.” a competitive disadvantage if our competitors were to find out the specifications of the machines used to manufacture our product.

    Q_4321 (Attachment) – Page 3, lines 6, 7, and 8, contains specifics of our manufacturing process that are proprietary and if revealed would put “John Smith’s Manufacturing Inc.” at a competitive disadvantage.

Q_3006

Qualified Investments
  • Standard Question
  • Yes
  • Money
  • 0
  • Excelsior Jobs Program: Qualified investments are tangible personal property, including a building or structural component of a building, owned by the applicant that is depreciable per IRC Section 164, has a useful life of 4 years or more, is acquired by purchase as defined in IRC Section 179(d), is located in NYS, and is placed in service on or after the date certified eligible for the Excelsior Jobs Program.

Q_3007

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3008

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3009

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3010

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3012

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0
  • * Eligible investment for ESD Grant Funds; generally not eligible investment for Excelsior Jobs Program.

Q_3014

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3015

Qualified Investments Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3017

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3018

Qualified Investments Building Renovation Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3019

Qualified Investments New Construction Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3020

Qualified Investments Production Machinery Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3022

Qualified Investments Furniture, fixtures Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3024

Qualified Investments Land Acquisition * Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3027

Qualified Investments Demolition Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3028

Qualified Investments Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3030

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3031

Qualified Investments Building Renovation Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3032

Qualified Investments New Construction Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3033

Qualified Investments Production Machinery Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3034

Qualified Investments Furniture, fixtures Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3036

Qualified Investments Land Acquisition * Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3039

Qualified Investments Demolition Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3040

Qualified Investments Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3042

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3043

Qualified Investments Building Renovation Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3044

Qualified Investments New Construction Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3045

Qualified Investments Production Machinery Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3046

Qualified Investments Furniture, fixtures Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3048

Qualified Investments Land Acquisition * Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3050

Qualified Investments Demolition Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3051

Qualified Investments Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3053

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3054

Qualified Investments Building Renovation Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3055

Qualified Investments New Construction Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3056

Qualified Investments Production Machinery Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3057

Qualified Investments Furniture, fixtures Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3059

Qualified Investments Land Acquisition * Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3061

Qualified Investments Demolition Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3062

Qualified Investments Year 5
  • Project Costs by Year: Please enter the annual anticipated Project Costs based on the year that the investment will be made. These Project Costs should match the information in the Program Budget section.
  • Standard Question
  • Yes
  • Money
  • 0

Q_14398

Do you wish to learn more about incentives for establishing or expanding childcare services on site or nearby?
  • Standard Question
  • Yes
  • Yes/No

Q_14323

Does your company take advantage of or is considering taking advantage of employer provided childcare federal and state credits?
  • Responses to the following two questions will not affect potential ESD incentives, but rather are intended to inform New York State strategy as we try to improve access to affordable childcare for your workers and all others in New York.
  • Standard Question
  • Yes
  • Yes/No

Q_14324

Does your company offer or is your company considering offering dependent care flexible spending accounts?
  • Responses to the following two questions will not affect potential ESD incentives, but rather are intended to inform New York State strategy as we try to improve access to affordable childcare for your workers and all others in New York.
  • Standard Question
  • Yes
  • Yes/No

Q_13611

The NYS Smart Growth Public Infrastructure Policy Act requires that a public infrastructure project meet the relevant smart growth criterion to the extent practicable. Public Infrastructure projects consist of construction or reconstruction of transportation, sewer, wastewater treatment, water, education, housing and other publicly supported infrastructure.Does the proposed project build new public infrastructure, expand public infrastructure or use, maintain, or improve existing public infrastructure?

If you are maintaining or improving existing public infrastructure, please answer “YES”. If you are building new public infrastructure or expanding public infrastructure, please answer "YES".

If this this is not applicable to your project, answer “NO”.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_13612
      - Q_13613
      - Q_13614
      - Q_13615
      - Q_13616
      - Q_13617
      - Q_13618
      - Q_13619
      - Q_13620
      - Q_13621
      - Q_13622
      - Q_13623

Q_13613

Please explain the need to build new infrastructure instead of using or improving existing infrastructure. If n/a, please type N/A.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Answer
  • 0 - 1000

Q_13612

Explain how the proposed project will use, maintain, or improve existing infrastructure.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13614

Please explain how the proposed project is located in a municipal center.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer
  • Municipal Centers are areas of concentrated and mixed land use that serve as centers of various activities (civic, commercial, recreational, and residential, among others).  Specific examples include Central Business Districts; Brownfield Opportunity Areas (BOAs); Downtowns in Local Waterfront Revitalization Program (LWRP) Areas; Transit-Oriented Development, Environmental Justice Areas and Hardship Areas; in many instances, an entire city, village or hamlet can be considered a municipal center.  This definition can include development “adjacent to municipal centers” and a “future municipal center” – an area planned and zoned to be a municipal center.   

    For specific guidance on rail/port, aviation, and other transportation projects please refer to Smart Growth Public Infrastructure Policy Act
     

Q_13615

Please explain how the proposed project is located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan. Specifically, explain how your project advances infill development or redevelopment in existing developed areas consistent with an approved plan.  Infill development includes redevelopment, rehabilitation and new development between existing buildings on vacant or under-utilized sites.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13616

Please explain how the proposed project will protect, preserve and enhance the State's resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archeological resources. Beyond simply avoiding or minimizing negative environmental impacts, please indicate the resources that may be impacted by your project and how your project will preserve and enhance these resources.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13617

Please explain how the proposed project will foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups. Specifically, explain how your project advances these objectives and improves the quality of life in your community.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13618

Please explain how the proposed project will provide mobility through transportation choices including improved public transportation and reduced automobile dependency. There are many alternatives to automobile transportation.  Please explain how your project provides or complements alternatives to automobile travel such as bikes, pedestrians, public transit, air travel or rail travel.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13619

Please explain how the proposed project will involve coordination between state and local government and inter-municipal and regional planning. Identify any interaction between the applicant and any municipal and county governments, planning boards, regional planning associations or similar organizations. Document any outreach by the applicant to these organizations regarding the project and any relevant correspondence.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13620

Please explain how the proposed project will involve participation in community-based planning and collaboration. Specifically, explain how the project results from an inclusive, multi-stakeholder (including traditionally underserved populations) process of community-based planning and collaboration.  To assist with your explanation, identify any affected community groups or organizations with an interest in the proposed project and if the planning process involved outreach to citizens and stakeholders at all stages of development of the project.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13621

Please explain how the proposed project will ensure predictability in building and land use codes. Provide any additional relevant information.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13622

Please explain how the proposed project will promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation. Specifically, explain how your project promotes sustainability.  For example, does your project include buildings and plans that seek to minimize consumption of fossil fuels (coal, petroleum), reduce water usage / consumption, and encourage the use of renewable energy (wind, solar, and geo-thermal).
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer

Q_13623

Please explain how the proposed project will mitigate future physical climate risk due to sea-level rise, and/or storm surges and/or flooding, based on available data predicting the likelihood of future extreme weather events, including hazard risk analysis data.

Specifically, explain how your project demonstrates that future physical climate risk due to sea-level rise, storm surge and flooding have been considered. For example, have you demonstrated consideration of the flood risk applicable to your specific structure type? Explain how the siting and design have evaluated flood-risk considerations, including, but not limited to, human health and safety, environmental effects, cost, funding-source requirements, feasibility and community impact.

For information on the State Climate Impacts Assessment visit:
https://nysclimateimpacts.org/about-the-assessment/what-is-the-assessment/

For information on implementation of the Community Risk and Resiliency Act visit:
https://dec.ny.gov/environmental-protection/climate-change/new-york-response/crra
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Short Answer
  •  

     

     

Q_1038

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.
  • Certification
  • Yes
  • Short Answer

Q_2365

By entering your name in the box below, you are acknowledging that ESD’s Contractor & Supplier Diversity policy will apply to this project. You are further acknowledging that you are aware of ESD’s agency-wide Minority and Women Business Enterprise (‘MWBE’) utilization goal of 30%. Please note that each project will be assigned an individual contract-specific goal, which may be higher or lower than 30%. Furthermore, you understand that, should this project receive a funding award, the Applicant shall be required to use good faith efforts to achieve the prescribed MWBE goals assigned to this project and failure to attain MWBE goal could result in grant amount being reduced.
  • Certification
  • Yes
  • Short Answer

Q_4182

By entering your name in the box below, you certify and agree that you are aware that your award will be reduced in proportion to the reduction of jobs and/or total project costs. Furthermore, you understand that, should this project receive a funding award, the Applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.
  • Certification
  • Yes
  • Short Answer

Q_7341

By entering your name in the box below, you certify, under penalty of perjury, that the information given herein is true and correct in all respects for the company or organization applying for funding (the "Company"), presently and for the past five years: -the Company is not a party to any litigation or any litigation is not pending or anticipated that could have an adverse material effect on the company's financial condition;

-the Company does not have any contingent liabilities that could have a material effect on its solvency;

-the Company, its affiliates or any member of its management or any other concern with which such members of management have been officers or directors, have never been involved in bankruptcy, creditor's rights, or receivership proceedings or sought protection from creditors;

-the Company is not delinquent on any of its state, federal or local tax obligations;

-No principal, officer of the Company, owner or majority stockholder of any firm or corporation, or member of the management has been charged or convicted of a misdemeanor or felony, indicted, granted immunity, convicted of a crime or subject to a judgment, or the subject of an investigation, whether open or closed, by any government entity for a civil or criminal violation for: (i) any business-related activity including, but not limited to, fraud, coercion, extortion, bribe or bribe receiving, giving or accepting unlawful gratuities, immigration or tax fraud, racketeering, mail fraud, wire fraud, price fixing or collusive bidding; or (ii) any crime, whether or not business related, where the underlying conduct relates to truthfulness, including but not limited to, the filing of false documents or false sworn statements, perjury or larceny;

-the Company or any of the Company's affiliates, principal owners or Officers has not received a violation of State Labor Law deemed "willful";

-the Company or any of its affiliates has never been cited for a violation of State, Federal, or local laws or regulations with respect to labor practices, hazardous wastes, environmental pollution or other operating practices;

-there are not any outstanding judgments or liens pending against the Company other than liens in the normal course of business.

-the Company or any of its affiliates, principal owners or officers the company has not been the subject of any judgments, injunctions, or liens including, but not limited to, judgments based on taxes owed, fines and penalties assessed by any governmental agency, or elected official against the Company.

- the Company or any of its affiliates, principal owners or officers the company has not been investigated by any governmental agency, including, but not limited to, federal, state and local regulatory agencies

-the Company or any of its affiliates, principal owners or officers the company has not been debarred from entering into any government contract; been found non-responsible on any government contract; been declared in default ore terminated for cause on any government contract; been determined to be ineligible to bid or propose on any contract; been suspended from bidding on any government contract; received an overall unsatisfactory performance rating from any government agency on any contract; agree to a voluntary exclusion from bidding or contracting on a government contract.

- the Company or any of its affiliates, principal owners or officers the company has not failed to file any of the required forms with any government entity regulating the Company. By entering your name in the box below, you agree to allow the Department of Taxation to share the Company tax information with ESD. By entering your name in the box below, you agree to allow the Department of Labor to share tax and employer information with ESD. Note: If any of the statements above are not true, in addition to entering your name, also include an explanation in the box below, indicating which issue you are addressing.
  • Certification
  • Yes
  • Short Answer