Request for financial assistance

Regional Assistance and Recovery Fund (RRRF)

Warning

  • We recommend that you consult the eligibility criteria and the terms of the initiative before filling out the help request form.
  • Please note that you cannot save the form and resume it. You have 12 hours to complete it, without closing the form and your browser.
  • Before you begin to complete the form, please ensure that you have the following documents available on hand that you will be asked to attach to your request for assistance.
    • Evidence of refusal, if any, from other federal emergency measures (please scan and attach them in one document)
    • Financial statements for the last year AND most recent interim
    • Recent statement from your financial institution
    • Copy of sample check with the mention "void" for direct deposit and pre-authorized debits
      Note: the bank account must be kept at a financial institution in Canada and contain funds in Canadian dollars. The organization submitting this request for assistance should be the holder.
    • Copy of the delegation instrument, if applicable
    • Formal or informal notice indicating that the client could be or is in violation of an environmental law or regulation, if applicable
  • Do not use periods or commas in the numeric fields, round off if necessary. (Ex: 5000)
  • Once the form has been completed, please send it by pressing the Submit form button at the end of the document. A confirmation of transmission will be sent to you.
  • Before submitting the form, please print it for your records. Please note that you will no longer have access to the form once submitted.
  • If you need support to complete the form or for any questions, please contact us at 1-800-561-0633.
  • Communication by electronic means may not meet the data protection requirements of the Government of Canada. Accommodation measures could be taken on a case-by-case basis to meet accessibility or other needs.
  • All information that applies to your business or organization (hereinafter "the organization") is required to process your request.
  • The information provided will be treated in accordance with the Access to Information Act and the Privacy Act.
The organization must take steps to benefit from the other federal emergency assistance measures listed below before applying under the RRRF.

<a href="https://ceba-cuec.ca/" target="_blank"> Emergency account for Canadian businesses: </a>

Canadian Heritage Emergency Fund for Culture, Heritage and Amateur Sport Organizations:

<a href="https://www.sac-isc.gc.ca/eng/1588079295625/1588079326171" target="_blank"> Financial assistance for Aboriginal SMEs </a>

<a href="https://www.canada.ca/en/department-finance/economic-response-plan.html" target="_blank">Canada's Emergency Wage Subsidy</a>

<a href="https://nrc.canada.ca/en/support-technology-innovation/nrc-irap-innovation-assistance-program-iap?utm_campaign=IRAP_funding_program&utm_medium=link_to_program_page_f&utm_source=home_page_f" target="_blank"> NRC IRAP Innovation Assistance Program (DAP) </a>

If you check NO to any of these measures, you must take the necessary steps and submit a request for assistance for one of these measures, before submitting a request for help.

<a href="https://ceba-cuec.ca/" target="_blank"> Emergency account for Canadian businesses: </a>

Canadian Heritage Emergency Fund for Culture, Heritage and Amateur Sport Organizations:

<a href="https://www.sac-isc.gc.ca/eng/1588079295625/1588079326171" target="_blank"> Financial assistance for Aboriginal SMEs </a>

<a href="https://www.canada.ca/en/department-finance/economic-response-plan.html" target="_blank">Canada's Emergency Wage Subsidy </a>

<a href="https://nrc.canada.ca/en/support-technology-innovation/nrc-irap-innovation-assistance-program-iap?utm_campaign=IRAP_funding_program&utm_medium=link_to_program_page_f&utm_source=home_page_f" target="_blank">NRC IRAP Innovation Assistance Program (DAP) </a>


Same as authorized person
Same as authorized person

* An authorized person is one who, legally, can bind the organization by the approval of official documents such as contribution agreements, as well as any modifications, declarations or claims under these documents. She can be a registered administrator at Business Register (REQ) , such as the president, a vice-president, the secretary or any person within the organization that has received this authorization by resolution of the board of directors or a delegation of internal authority.

Please indicate if your organization is majority owned * or serves ** the groups mentioned below by checking the relevant categories:




* For businesses: a business belonging to one of these groups is defined as a business where at least one member of one of these groups has held the majority of the business (more than 50%) for at least two years .    

** For NPOs: an NPO serving customers in the groups mentioned above.


Number of employees as of March 15, 2020:


Number of employees currently:


Number of employees you expect to have 6 months after the date of submission of your request for assistance:

Please describe the impact of COVID-19 on your organization (expectations should be based on estimates based on the information you currently have):
Declining revenues
Anticipated decrease in revenues
Missed business opportunities or lost contracts
Temporary layoffs immediately
Temporary cessation of the organization's activities and closure of the organization
Actual and anticipated job losses
Difficulty filling positions
Other
Cash requirements:


*Please note that the period is a maximum of 6 months and must be between March 15, 2020 and no later than December 31, 2020.

Less: Disbursements (payment of salaries and other cash outflows excluding other funds received under other government measures as indicated below) (Note: disbursements cannot be before March 15, 2020)
Excluding 100% of salaries eligible for Canada's Emergency Wage Subsidy
Excluding 100% of rents eligible for Canadian Emergency Assistance for commercial rent

Less: Amount of assistance received / requested under other public measures (federal, provincial or municipal) for COVID-19
Specify the federal measure


(should be equal to or less than the funding requirement)(if the amount is equal or less than $40,000, the reimbursement of assistance granted by CED could be 75% of the amount)

Please refer to the program criteria and procedures page.


Please provide a brief description of the expected results. Briefly explain how do you consider financial assistance to help you with the continuity of your operations in terms of:
Job retention
Maintaining organizational activities
New contracts
New customers
New activities
Please attach the following documents. These documents are mandatory and if they are not submitted, the request for assistance will be considered incomplete and may be rejected.

    Important: Please note that if you receive one or more error messages when submitting your request for assistance (by pressing the "Submit" button at the end of this form), you must attach all the documents again required when you resubmit your request.


Note: the bank account must be kept at a financial institution in Canada and contain funds in Canadian dollars. The organization submitting this request for assistance should be the holder.

* The types of acceptable financial statements are: audited, review mission, notice to the reader or certified by the Chief Financial Officer or President and CEO of the organization, if the organization does not have a Financial Director.

To the Economic Development Agency of Canada for the Regions of Quebec (hereinafter "the Agency"),

I, the undersigned _________________________ , a duly authorized person of _________________________ , (Legal name of your organization) (hereinafter the "client") commits me and certifies the following:

I undertake to disclose any other other government assistance or financial assistance requested or received for the project, as well as any other government assistance or financial assistance requested or received for a similar project by a company with which the client has a non-arm’s-length relationship within the meaning of section 251 of the Income Tax Act (R.S.C. (1985), c 1 (5th Sup)..

I certify that the organization [Check the appropriate box]
I certify that the organization [Check the appropriate box]
I certify that the organization [Check the appropriate box]

Important: Please ensure that your submission has been submitted with the required documents. If the documents have not been attached to your request, please send them to the following electronic address dec.relance.quebec.recovery.ced@canada.ca by indicating the confirmation number indicated in the acknowledgment of receipt.


Name of authorized person: _________________________

* An authorized person is the person who can legally bind the organization by approving official documents such as contribution agreements, as well as any modifications, declarations or claims under these documents. She can be an administrator registered at Business Register (REQ) , such as the president, a vice-president, the secretary or any person within the organization that has received this authorization by resolution of the board of directors or a delegation of internal authority. .  

   * Provide a copy of the delegation instrument, if applicable .

Attention

Before submitting the form, please print it for your records. Please note that you will no longer have access to the form once submitted.




All the information on your business or project created, retained or collected by Canada Economic Development for Quebec Regions is subject to the Access to Information Act and the Privacy Act .

Modified date :