Small Business COVID-19 Relief Fund Application

Program Requirements - To qualify, a small business must be:

Registered with the New Mexico Secretary of State.
An active non-residential, Small Volume Rate 54 customer. Please refer to page 2 of your NMGC bill.
A NM, locally-owned business with 50 or fewer employees.
Experiencing financial hardships due to COVID-19, with an account at least 30 days in arrears.
Able to pay at least 15% of the past due balance and agree to enter into a payment arrangement for the remaining past due balance.

Is your organization registered with the New Mexico Secretary of State?

Please select the Tax ID type for your organization (do NOT provide a SSN)

Please enter the Tax ID number that matches the type selected

Has your organization been affected by Coronavirus COVID-19?

Name

Busines Name

Street Address

City

State

Zip Code

Email Address

Primary Phone Number

NMGC Account Number
- -

I confirm I am an NM, locally-owned business with 50 or fewer employees.

I confirm the business currently has active service with NMGC.

I declare the information I have provided is true, correct, and complete to the best of my knowledge.

I understand the information I have provided will be verified before eligibility is determined.

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