COVID-19 Microenterprise Stabilization Program (MicroE)
Application Checklist
Required Attachments: Attach copies of the supporting documentation to the completed MicroE Application Form in
the order listed below.
General
____ Applicant’s Driver’s License
____ MicroE Conflict of Interest Disclosure
____ MicroE Certification Form
____ MicroE Consent and Release Form
Income Eligibility
____ MicroE Income Certification Form
____ Personal 2018 Federal Tax Return for all adults in applicant’s family filing separately
Business Eligibility
____ Business 2018 Federal Tax Return (2019 return for business established in 2018)
____ Schedule C, Form 1040 Profit or Loss from Business (sole proprietorship, SMLLC)
____ 1120 (C corporation)
____ 1120 S (S corporation)
____ 1065 (partnerships (LLP, LP) and limited liability companies (LLC))
Microenterprise Eligibility
____ Copy of payroll for week ending 3/7/2020*
____ Copy of payroll for last full pay period prior to the date of application*
____ Optional: State Income Tax Withholding Form RI-941 (# of employees will reflect any turnover)
____ If no payrolls are available, a copy of the business bank statements from March 2020 through the date of
application
*If business uses 3
rd
party payroll provider, 3
rd
party payroll must be provided
COVID Losses
____ Receipts from impacted period (including March 2020)
____ Receipts from same period (including March) in 2018
____ Receipts from same period (including March) in 2019
____ Optional: Documentation of canceled orders/jobs
____ Optional: Closure notice to clients/customers
or State-Issued Photo ID
