Dayton COVID-19 Community Assistance Fund - Dayton Dollars Program
Business Application

Business Name
Business Address must be inside Dayton city limits
Mailing Address if different from Business Address
Phone Number
Email:
Your Name
Does your business have fewer than 50 employees?
Is your business in good standing with the State of Oregon?

Dayton Dollars expire at midnight on November 30, 2020, and will not be accepted for purchases by participating businesses after that date. Businesses can seek reimbursement through December 15th with last checks cut on December 18th

Has your business been affected by COVID-19?
Does your business have a current Business Registration with the City of Dayton?
If your business is not currently registered with the City of Dayton, please click here to register online.
The $25 fee for a 2020 Business Registration will be waived during this program.
By checking this box, you agree that you are the owner of a small business within the city limits of Dayton, OR that has been affected by the COVID-19 pandemic. Further, you confirm that you have a current business registration with the City, and that your business is in good standing with the State of Oregon.
Please type your full name Typing your full name will serve as your signature for this application.

Thank you for your application.