Manitoba Bridge Grant Application Form

Javascript must be enabled to complete this form. Please see https://www.enablejavascript.io for more information.

Manitoba Bridge Grant Application Form

The Manitoba Bridge Grant provides a $10,000 grant to:

Eligible Manitoba businesses and organizations that are required to fully close their premises to the public as a result of Manitoba COVID-19 Prevention Orders in effect as of November 12, 2020 or any revisions to those Orders.

Businesses and organizations required to close may continue to offer online sales, remote services, curb-side pickup and delivery.

Community Clubs and Community Centres that had their premises ordered closed to the public by the relevant municipality on or after November 12, 2020 to prevent the spread of COVID-19.

By exception to Schedule A – "Business Permitted to Open" of the public health order, the following business are eligible for the Manitoba Bridge Grant:

Manitoba hotels, resorts, lodges and outfitters operating on November 12, 2020

Travel agencies

Janitorial services businesses

Owner-operators of licensed passenger transportation businesses for individuals

For additional information regarding the public health order and how it impacts your business or organization, please see the Manitoba COVID-19 Prevention order made on November 11, 2020 and any revisions to those Orders here: https://www.gov.mb.ca/covid19/restartmb/prs/orders

If you operate a home-based business, please apply to the Bridge Grant Program for Home-Based Businesses.

To proceed with your application, please answer the following questions:

Eligibility Determination

Does your organization operate a bar or restaurant? Yes No

Does your organization operate a business classified as retail that was directed by a public health order to only provide services via e-service, curb-side pick-up, or delivery? Yes No

Does your organization/business operate a Manitoba-based:

hotel, resort, lodge or outfitter
travel agency
janitorial services business
owner-operator of licensed passenger transportation businesses for individuals?

Yes No

Does your organization operate a gym or fitness centre? Yes No

Does your organization operate a sports or recreational facility? Yes No

Does your organization operate an art gallery, museum or library? Yes No

Does your organization operate a movie theatre, theatre, banquet hall, event venue, concert hall, bingo hall, VLT gaming room, casino, or similar public venue closed by the public health order? Yes No

Does your organization operate a facility that provides community services, cultural or religious services and which was directed to be closed by a public health order? Yes No

Does your organization operate a community club or community centre that had its premises ordered closed to the public by the relevant municipality on or after November 12, 2020 to prevent the spread of the COVID-19? Yes No

Does your organization provide personal or aesthetic services such as hair styling, manicures, or pedicures? Yes No

Do you operate a business that sells goods or services that is located within a recreational facility, gym, fitness centre, museum, library, movie theatre, concert hall, bingo hall, VLT gaming room, or casino that was directed to be closed by a public health order?

(Note: to apply under this category, you must have an established and regular financial expense, such as rent, fee or commission, for the use of the premises or be the full or co-owner of the premises that were ordered closed to the public.)

Yes No

Does your organization operate a child care facility or healthcare facility? Yes No

Order 6 of the Manitoba COVID-19 Prevention Order states that: "The operator of a facility or business that is not listed in Schedule A or whose ability to open is not otherwise addressed in these Orders must ensure that the business or facility is closed while these Orders are in effect." Schedule A is listed here: https://www.gov.mb.ca/covid19/restartmb/prs/orders/essential-business.html
If your business is not listed in Schedule A - have you closed your premises to the public as required by the public health order? Yes No

Does your organization provide one of the following?

Supply chains
Institutional, residential, commercial and industrial maintenance
Telecommunications and information technology
Communications industries
Transportation
Manufacturing and production
Agriculture and food production
Construction
Finance
Natural resources
Environmental services
Utilities and public works
Research
Health care, seniors' care and social services
Justice sector
Professional services
Other businesses

Yes No

Applicant Information

First Name:

Last Name:

Title (position in the business, eg. owner, president, director, partner)

Email Address:

Confirm Email Address:

Primary Phone Number:

Organization Information

Organization Structure:

Legal Name (enter corporation or co-operative name, or full name of the sole proprietor, or if a partnership, names of all partners):

Operating Name (Registered Operating Name):
*Required for correspondence and payment purposes. Please complete in full.

Primary Organization Location Street Address:

Primary Organization Location City:

Primary Organization Location Province:

Primary Organization Location Postal Code:

Is your mailing address different from your primary location address? Yes No

Mailing Address:

Mailing City:

Mailing Province:

Mailing Postal Code:

Company Website: (Optional - leave blank if you do not have a website)

Nature of Operations:

Specify Nature of Operations:

My industry/sector is not listed

Enter your nature of operations:

Region in which the operations is located

Map of Manitoba regional health authorities: Interlake-Eastern Region, Northern Region, Prairie Mountain Region, Southern Health-Santé Sud Region, Winnipeg Metropolitan Region.

Organization Identifiers

Companies Office Registry Number: (Not required for sole proprietor)

Business Number: (provide the first 9 digits only, no spaces)

If you require assistance in identifying the business’ Registry Number or Business Number, please contact the Companies Office at (204) 945-2500, or toll-free at 1-888-246-8353. The Companies Office is open Monday through Friday, from 8:30 a.m. to 4:30 p.m. You may also access the registry online by visiting their website at www.companiesoffice.gov.mb.ca

Charity Registration Number - Please enter your 15-digit Canadian Registration Number:

This business has a Workers Compensation Board (WCB) account number. (Mandatory if it has one assigned)

WCB Account Number:

This business has a Retail Sales Tax (RST) number. (Mandatory if it has one assigned)

RST Number:

Tax Information

Please provide your Social Insurance Number (SIN)

Do you have consent from your partners to disclose their information? Yes No

Please provide one of the business partners' information below.

Partner's First Name:

Partner's Last Name:

Partner Social Insurance Number (SIN)

Fiscal Year End

Payment Information - Business Bank Account

Please note:

Incorrect Information may result in processing delays.
Please provide information for the business bank account.
Your financial institution must be located in Canada.

Failure to enter correct banking information could lead to your payment not being processed. If uncertain, please contact your financial institution for assistance on how to enter the information into the three requested fields (Branch/Transit Number, Institution Number, and Account Number). The Manitoba Government assumes no responsibility if incorrect banking information is provided.

Branch/Transit Number:

Institution Number:

Account Number:

Re-enter the Branch/Transit Number:

Re-enter the Institution Number:

Re-enter the Account Number:

Name and Address of Financial Institution:

Attach a void cheque or direct deposit form as a .jpg or .jpeg image.

In order to avoid delays in processing, please upload a photo of a void cheque.
Please ensure banking information matches your cheque.

Declaration of Eligibility

I hereby declare the following to be true and accurate:

My business or organization is a permanent, Manitoba-based entity operating in the Province of Manitoba.
My business or organization was carrying on operations in Manitoba on November 9, 2020.
My business or organization:
- has fully closed its premises as a result of Manitoba COVID-19 Prevention Orders in effect as of November 12, 2020 or any revisions to those Orders; or
- was ordered closed to the public by my municipality on or after November 12, 2020 to prevent the spread of the COVID-19; or
- is listed in the program criteria as an eligible exception to Schedule A of the Manitoba COVID-19 Prevention Orders.
If you are a business - the business is not passive and carried on an active business as of November 9, 2020.
My business or organization was not in arrears for taxes owing to Manitoba on March 20, 2020. Note: this does not include businesses that have deferred tax remittances incurred between April and September 2020.
My business or organization is in good standing with the Manitoba Companies Office.
My business or organization possesses an active and valid business number.
The charity is registered with the Government of Canada and is in good standing at the time of application.
The application is not for a child care facility, healthcare facility, or a business that conducts multilevel marketing.

Do you declare these conditions to be true and accurate? Yes No

Consent

Notice about Personal Information:

The Manitoba Government is authorized to collect personal information on this form by section 36(1)(b) of The Freedom of Information and Protection of Privacy Act (FIPPA). The information will be used to:

process this application for the Manitoba Bridge Grant Program financial support;

determine and verify eligibility for financial support;

for research, planning and reporting purposes; and

to administer and evaluate the Program with other provincial departments.

I consent to and authorize the disclosure and release by any person, individual, corporation, organization, or by any government or government agency (including but not restricted to any federal or provincial government department or crown corporation), of any information or documents (including, but not limited to, any personal information as defined in The Freedom of Information and Protection of Privacy Act or The Income Act [Canada] or The Income Tax Act [Manitoba] or The Tax Administration and Miscellaneous Taxes Act requested by the Province of Manitoba for any purpose respecting the administration of the Manitoba Bridge Grant Program for my benefit by the Manitoba Department of Finance or its successors.

I consent to the Manitoba Minister of Finance or his/her designate(s) to release to government or government agency (federal, provincial/territorial or municipal government department or crown corporation), any information or documents (including, but not limited to, any personal information as defined in The Freedom of Information and Protection of Privacy Act or the Income Tax Act [Canada] or The Income Tax Act [Manitoba] or The Tax Administration And Miscellaneous Taxes Act for any purpose respecting the administration of the Manitoba Bridge Grant Program.

I further consent to authorize Canada Revenue Agency to provide the Manitoba Government Department of Finance with any information from any Income Tax Returns of the applicant corporation or other relevant documents that Canada Revenue Agency possesses. The information so provided will be used to verify the content of this application and will not be used or communicated for any other purpose.

I consent: Yes No

As an authorized representative of the business or organization named in this application, I agree to provide the Manitoba Bridge Grant Program any additional documentation or requests for information required to administer my claim.

I agree I disagree

Declaration

I declare that I have answered all questions on this application for which assistance is requested according to the instructions and my answers and documents I have provided, or will provide in the future, in support of this application, are to the best of my information and belief, true in every respect. I make these declarations knowing it is an offence under the Criminal Code of Canada, to knowingly make any false statement or representation in an application or to furnish any false or misleading information or documentation for the purpose of obtaining this grant.

Yes No

Application date

After clicking submit, you will be re-directed to a new page. The captcha on this page must be completed before your application is received by our office. Your application is successfully submitted once a confirmation number appears on your screen. Please retain this number for future reference.