Request for financial assistance

Canada Community Revitalization Fund (CCRF)

Information:

  • For more details on the Canadian Community Revitalization Fund, please consult the Applicant Guide
  • Questions? Please refer to the program page or contact us at 1-800-561-0633

The following five (5) steps will help you assess your eligibility to apply for funding. Please fill in the information step by step based on to your situation and follow the messages.
Your organization is


Please check the component that corresponds to your project type. If your project corresponds to the two (2) components, please check both of them off.

Type of project :
(Click to view definitions)

Type of infrastructure













Priority will be given to projects that fall within at least one of the following four (4) categories. <br><br> Please check the box (or boxes) that apply to your project. If none of these categories apply please check Other. See the <a href="/eng/programs/pdeq/ccrf/guide.html" target="_blank">Applicant Guide.</a><br>



Is your type of infrastructure accessible or will it be accessible to the public upon completion?

Canada Community Revitalization Fund (CCRF)

Attention

Please complete all the information on the form and attach the required documents indicated in Section M of the funding application form. Without this information and these documents, your application may be deemed incomplete and could be rejected.

  • Please ensure that you have first consulted the Applicant Guide before completing your request.
  • You have 12 hours to complete this request, without closing the form or the browser. It is not possible to save the form and return to it later.
  • In the form, do not use periods or commas in numeric fields; round up if necessary (e.g. 5000).
  • This document may contain personal or business information. E-mail and fax used to communicate with the Agency are not secure modes of transmission. The Agency cannot be held responsible for your choice to send the document by these means of transmission.
  • All information that applies to your business or organization is required to process your request. The information provided will be treated in accordance with the Access to Information Act and Privacy Act.
  • Once you have completed the form, please print it or save it as a PDF for your files before submitting it. You will no longer have access to the application once it is submitted.
  • Once the form has been completed and printed, please submit it by clicking on Submit form . A confirmation will be sent to you.
  • Accommodations may be made on a case-by-case basis (e.g., by mail) to meet specific accessibility or other needs. In these circumstances, please contact us at us at 1-800-561-0633.
  • For any questions regarding the CCRF form, contact us at 1-800-561-0633 .

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Warning

According your company's NEQ, you may not be eligible. Call customer service for more information, our advisors will be able to guide you.


1-800-561-0633

Same address as the client
Same address as the client

* 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.

Same as authorized person
Same as authorized person

*A contact person is the representative of your organization with whom the Agency will deal directly for a specific project. Your resource may also be the authorized person.



N.B: Project costs are eligible starting April 19, 2021 under certain conditions. Please see section I for more details.
7. The infrastructure is part of a building offering other services
Please describe how your infrastructure is accessible or will be accessible to the public (e.g., number of users, rental register, opening hours, entrance fees, etc.)
9. Ownership of the infrastructure involved in this project
10. Do you have any plans and specifications or a submission for the project?

If yes, please include the above-mentioned documents with your application
11. Has the work begun?
12. Does your project include accommodation measures or removal barriers and improve accessibility for persons with disabilities?

(e.g., the installation of accessible entrances, power door openers, elevators, accessible washrooms, visible and audible alarm systems, large-print, high-contrast and Braille signage, COVID-19 measures such as social distancing, etc.)?

Attention

Don’t forget to complete the document entitled “Project financial information” and to include it with the other project documents (see section M)

Click here to complete your financial information document.

(the amount must not exceed the amount entered in box 1 above)
3. Have you already incurred any costs in connection with this project?
Do you have mitigation strategies in place for project funding in the event of an increase in costs (e.g., rise in material prices) or the withdrawal of a funding partner?
4. Measures to mitigate the risk of increased project costs
1. Have all necessary municipal, provincial and federal permits and approvals been obtained

2. Is the infrastructure located within or near to an Indigenous group or community?

3. Has the project been the subject of consultation or received support from the communities involved?

4. Are any of the activities in this project planned to take place on federal lands?
This section allows you to explain how your project meets the objectives and expected results of the Canadian Community Revitalization Fund. Please check the appropriate boxes.
Please include the following documents. Without these documents, the application may be deemed incomplete and thus rejected. .

Attention:

  • For each item below, you may attach only one (1) document. For example, for question 1, scan your financial statements and interims in one document and attach them afterwards. if you need help contact us at 1-800-561-0633.
  • If you receive one or more error messages when submitting your funding application (by clicking on the “Submit” button at the bottom of this form), please correct the errors and resubmit your application, remembering to attach all the required documents.


*The following types of financial statements are accepted: audited; review engagement; notice to reader; or certified by the organization’s Financial Director or Chief Executive Officer;
This information can assist the Government of Canada in tracking progress on inclusive access to federal programs and services, identifying and removing barriers, and making changes to improve inclusive access. Aggregate and anonymous data may be shared with other federal organizations or published for reporting and performance measurement purposes.

If your organization or your project do not correspond to the definitions (See Applicant Guide), or if you do not wish to report your status, leave the following fields blank, otherwise please indicate which categories apply to your organization:
1. <b>The data collected in this section is used for statistical purposes. If applicable, please indicate whether your organization is led or majority led by one or more of the following underrepresented groups:</b>








2. <b>Priority may be given to projects that benefit or encourage the inclusion of under-represented groups (see Inclusive growth, <a href="sectionl">Section L</a>). If applicable, please indicate whether your project will support any of the following underrepresented groups: </b>








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

I, the undersigned _________________________ , a duly authorized person of _________________________ , (Legal name of your organization) (hereinafter the "organization") 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 you have included the required documents with your submitted application. If any documents have not been with your application, please send them by email dec.relance.quebec.recovery.ced@canada.ca and include the confirmation number found 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. .

Attention

Before submitting the form, please print it or save it as a PDF file 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 :