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Small Business Request for Assistance


  1. 1. Step One
  2. 2. Supplemental Intake Information
  • Step One

    1. Client Instructions
      Please fill out this form as completely as possible, and sign and date the bottom of the form.
    2. Return the Request for Services Form to:
      City of Durham Office of Economic and Workforce Development
      807 East Main Street, Building 5-100
      Durham, NC 27701

      Office Phone: 919-560-4965

    3. Business
    4. NAICS
    5. Military Branch Served:
    6. Assistance Required
    7. Additional Assistance
    8. Business Status / Stage
    9. Business Size
    10. Business Type
    11. Legal Organization
    12. Referred By
    13. Military Status
    14. Ownership