Utica Proud - Terms and Conditions

By signing this application I authorize the city of Utica to make any inquiries necessary to verify the accuracy of the information provided above and authorize the city of Utica to share information with any staff who may provide technical assistance to support this request. I understand the city of Utica will maintain the confidentiality of this information and it will not be released without authorization. I certify that the information provided above is true and factual, that my business is based within the city of Utica, and that my business has experienced a critical loss of revenue or substantial hardship due or related to the covid-19 pandemic. I further certify that neither I, nor those with whom I have business ties, is currently or has been within the past twelve (12) months, an employee, agent, consultant, officer, or elected or appointed official of the city of Utica. I am signing this application under the pains and penalties of perjury