Submit Request for Assistance

In order to request assistance and take advantage of the small business services we offer, please fill out the form below. After you submit the form, someone from CED will contact you to discuss your next steps.

* indicates a required field

Business Name: *

Your First and Middle Name: *

Your Last Name and any Suffix: *

Mailing Address

Street Address: *

City: *

State Abbreviation: *

Zip: *

County / Parish:

Contact Info

Please enter at least one phone number (work, cell, or home).

Phone (Work):

Phone (Cell):

Phone (Home):

Phone (Fax):

Email: *

Website:

CEO/Primary Owner Demographic Information

Gender:

Race/Ethnicity:

If 'Other' enthicity, please indicate below

'Other' race/ethinicity:

Business Details

Business Stage: *

If 'Other' Business Stage please detail below.

Other Business Stage:

Business Operations: *

Business Sector: *

Products and Services: *

Currently Open: *

Employees and Revenue

Number of Employees:

Number of Employees earning at or above $13.10/hr:

Number of Employees earning below $13.10/hr:

Number of employees before the storm:

Annual Revenue Currently:

Annual Revenue before the storm:

Business Assessment Tools

Do you have a tax ID number: *

Do you have a formal business plan: *

Do you have historical financials: *

Do you have audited financials: *

Notes or comments:

News

Business and Home Inventory Professionals
Prior to the storm, Michael Hall owned his own tax service franchise. However, as with many New Orleans entrepreneurs, the business was lost following the hurricane. After witnessing all of the challenges that residents faced with insurance companies, Hall decided to start a business that would document property and provide a complete written, digital and video inventory to protect people against the unexpected.