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COVID-19 Small Business Customer Assistance Application for Castle Rock Water

  1. CRWaterFinal
  2. COVID-19 Small Business Customer Assistance Application for Castle Rock Water
  3. Program information
    The Castle Rock Water Small Business Customer Assistance program is intended to help Castle Rock Water customers financially impacted by the COVID-19 pandemic. This program is open to all non-home-based small businesses in the Town of Castle Rock that have a Castle Rock Water account. This applies only to commercial accounts. This program is based on a first come first served basis. Full program details are available at
  4. What are the impacts to your business from COVID-19?*
    Please check all that apply.
  5. Number of employees prior to COVID-19:*
  6. Number of current or anticipated employees as a result of COVID-19 impacts:*
  7. Current or anticipated revenue reduction related to COVID-19 impacts?
  8. Acknowledgements
    Please check each statement, acknowledging you have read and affirm the information being submitted within this application is true and accurate to the best of your knowledge.
  9. Typing your name above constitutes a legal signature whereby you are confirming the information provided in this form is true and correct to the best of your knowledge.
  10. Questions?
    Contact the Castle Rock Water Billing Dept., 303-660-1373 or
  11. Note: Information provided in this application is considered a public record and may be subject to public disclosure through the Colorado Public Records Act.
  12. Leave This Blank:

  13. This field is not part of the form submission.