Connecticut Manufacturing Innovation Fund Voucher Program (MVP)

Please review the form below to prepare for your submission. Only fully completed applications will be processed, and only applications sent via e-mail through this website (by completing the form below) will be accepted.

New Grant Application

- Only fully completed applications with the required attachments will be considered for funding.
- Projects that are committed to and commence prior to the submission of your MVP application will not be considered for funding.
- Companies not in "good standing" with the Department of Revenue Services or Department of Labor are not eligible to apply.
- Applications will be processed on a first-come first-served basis.
- Applications must be submitted online using the program's online form.

Required Attachments:

- DRS Letter of Good Standing (An official DRS letter for the most recent quarter is required; evidence of your request for this letter is not sufficient)
- DOL Letter of Good Standing (An official DOL letter for the most recent quarter is required; evidence of your request for this letter is not sufficient)
- Proposed Project Quote or Proposal
- Project Budget Form
- Evidence of the applicant's ability to meet the required funding match must be provided (i.e. bank statement, credit line availability, etc).

Other Potential Attachments:

- Explanation regarding any litigation involvement
- Explanation regarding non-industrial zoned manufacturing operations

Please Print and Review this Application Before Continuing

1. Applicant Contact Information
Company Name
Website (include http)
Contact Name
Contact Title
Company Phone
Cell Phone
Email Address

Confirm Email Address
Address
Street Address

Town/City

State

Zip Code
2. Company Information
Year Established
Number of Full-Time Employees
Percentage of Revenue Generated from the Sale of Goods Manufactured by You or from Providing Allied Manufacturing Services
%
CT Business ID (if applicable)
Federal Employer I.D. Number (EIN)
NAICS Code
Company Structure
Business Summary
3. Company Status
Is Manufacturing Performed in an Area Zoned for Business? No Yes
If no, submit an explanation as an attachment.
Is the Company or Its Owners Subject of any Outstanding or Antic. Litigation? No Yes
If yes, submit an explanation as an attachment.
Has the company received any prior funding from the Mfg Voucher Program? No Yes
4. Proposed Funding Use
A. Funding Use
B. Project Importance
C. Project Metric(s)
D. Return on Investment
E. Project Timetable

If awarded this grant, please advise how soon after receiving approval that the project would begin and how long following commencement until the project would be complete.
Number of Days Until Start of Project:
Duration of the Project:
F. Project Cost

Based on quote(s) received from your intended Equipment or Service Provider(s), please indicate the Total Cost of the proposed project and the amount of MVP grant funding being requested.
Indicate the Total Project Cost: $
(Attach a detailed cost breakdown if applicable)
Indicate the Requested Funding Amount: $
(Maximum award is limited to $50,000)
G. Equipment or Service Provider
Provide the following information regarding the equipment supplier or service provider with whom this funding will be spent. Submit a copy of their quote or proposal with this application.
Name

City

State

Website (include http)

Phone
5. Resource Upload
Vendor Quote:
Required Attachment

DRS Letter of Good Standing:
Required Attachment (An official DRS letter for the most recent quarter is required; evidence of your request for this letter is not sufficient)

DOL Letter of Good Standing:
Required Attachment (An official DOL letter for the most recent quarter is required; evidence of your request for this letter is not sufficient)

Project Budget Form:
Required Attachment

Evidence of Matching Funds:
Required Attachment (Bank Statement, Credit Line, Loan Document, etc.)

6. Certification & Signature

By checking this box, I, , certify to the best of my knowledge that the company meets the eligibility requirements for this funding and that all of the information provided herein and on the accompanying attachments is accurate as stated. I also understand that if awarded funding under the MVP program, that my organization will be responsible for providing matching funds up to 100% of the amount awarded.

Public Announcement:

Please be advised that your company and project may be highlighted in a press release and/or used for Economic Development Metrics issued by the state. Company proprietary or trade secret information will not be disclosed. If you would like additional information concerning this, please contact DECD.

Connecticut ManufacturingInnovation Fund Voucher Program (MVP)

New Grant Application

Please Print and Review this Application Before Continuing

1. Applicant Contact Information

2. Company Information

3. Company Status

4. Proposed Funding Use

5. Resource Upload

6. Certification & Signature

Public Announcement:

Connecticut Manufacturing
Innovation Fund Voucher Program (MVP)