Form Center

2. For more information on eligibility or how to apply, please follow the link below:
   Infrastructure Grant
4. Business Name:*
5. Contact Name:*
7. Contact Title:*
8. Contact Phone:*
9. Contact Email:*
11. Business Site Address:*
12. Business Website:
14. Project Description:*
16. Business Description:*
17. Federal Tax ID#:*
19. Registered to Conduct Business in the State of Texas?*

    1. Yes
    2. No
20. Year Business was Established:*
22. Does the location have vendors that remit Sales Tax to the Texas State Comptroller?*

    1. Yes
    2. No
23. Texas Sales Tax ID#:*
25. Property Owner:*
26. Total Cost of Project?*
27. Amount requested from DEDC?*
29. The Business/Facility's estimated Sales Income:*
30. The Business/Facility's estimated Sales Tax:*
31. The Business/Facility's estimated Property Tax:*
33. Number of current Full-Time employees at this Facility:*
34. Number of current Part-Time employees at this Facility:*
35. Will the project generate additional employees at this facility?*

    1. Yes
    2. No
37. Upload photos of existing project site:*
38. Upload professional renderings of project completion:*
39. Upload a professional cost estimate:*
41. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
43. Electronic Signature
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field