R357-22-104. Form and Content of Application for Rural Employment Expansion Program Participation

(1) The content of the application for a rural employment expansion grant shall, at minimum, include the business entity's: (a) name; (b) physical operating address; (c) telephone number; (d) email address; (e) Federal EIN number; (f) primary NAICS code; (g) vendor number, if the applicant is a registered vendor with the state; (h) requested rural employment expansion grant amount; and (i) forecasted: (i) number of new, full-time employee positions; and (ii) wage of new, full-time employee positions. (2) The following documents shall, at minimum, be included in each application for participation in the program: (a) a copy of a current, signed W-9 form; (b) evidence of the business entity's employees during the baseline period such as: (i) the four most recent Form 33H - Utah Employer Quarterly Wage List and Contribution Reports; (ii) a copy of an executed professional employee agreement for each employee, as defined in Subsection 31A-40-102(15); or (iii) an equivalent form of documentation; and (c) an employee report covering the 12 months leading up to application submission.