What is the 18-Month Disbursement Request and what documentation is necessary to complete it?
A. To receive the second disbursement of the grant, the Eligible Business must provide updated information by completing and submitting the 18-Month Disbursement Request and include the following documentation: • A completely filled out and signed 18-Month Disbursement Request form; and • A photocopy of the New York State Department of Labor Form NYS-45 (Quarterly Combined Withholding, Wage Reporting and Unemployment Insurance Return) reporting the number of full- time and part-time employees at the Eligible Premises for the most recent quarter, or a Statement of Deposit from a payroll processing service, if applicable; and • A photocopy of a current utility bill (e.g. gas, electric, telephone); and • A photocopy of the most recent cancelled check (both sides) or cash receipt for the payment of rent; and • A current voided check imprinted with the name of the Eligible Business. The 18-Month Disbursement Request form will be sent to grant recipients following disbursement of the initial
