Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Non-profit Emergency Relief Application

  1. The American Rescue Plan Act (ARPA) Non-Profit Emergency Relief Fund was approved by the Hyattsville City Council to provide economic relief to non-profit organizations that provide all or a primary portion of programs and services in the City of Hyattsville, and for the benefit of the City of Hyattsville. The fund includes $900,000 to support eligible non-profits, with awards of up to $25,000 per organization. Eligible applicants who are suffering financial hardships due to COVID-19 are encouraged to apply. Funds will be awarded on a first-come, first-served basis. Applicants must be able to provide proof of eligibility for the grant program. There are no restrictions on the use of grant funds, if awarded. Applicants will need to submit a W-9 form for payment. 

    For assistance with this application, please review the Frequently Asked Questions at: 

    Please contact American Rescue Plan Program Manager Patrick Paschall at or (301) 485-6924 for questions. Please allow up to 30 calendar days to process grant applications.

    Para ver esta información en español, seleccione el boton 'select language' ubicada abajo de esta pagina. 

  2. General Information:
  3. In February 2020, was the organization fully operational and providing services within the City of Hyattsville? *
  4. As of the date of the application, is the organization fully operational and providing services within the City of Hyattsville? *

    The Non-profit Emergency Relief Program is only available to non-profit organizations that were operating in February 2020 and are currently in operation. 

    By selecting "No," you have indicated you are not eligible for the Non-Profit Emergency Relief Program.

  6. All applicants are required to submit a federal Form W-9 in order to receive payment. You can download a copy of the form at:

  7. The Non-Profit Emergency Relief Fund is available to non-profit organizations organized under Sections 501(c)(3) and 501(c)19 of the Internal Revenue Service Code. Please indicate which Section of the IRS Code your organization is organized under, and provide a copy of your IRS Nonprofit Status Letter. *
  8. Is your organization in Good Standing with the Maryland Department of Assessments and Taxation? *
  9. Please indicate the type of financial harm your organization experienced due to COVID-19. *

    *Note: The Non-Profit Emergency Relief Fund is only available to non-profits who can demonstrate that they experienced financial harm during during the pandemic.

  10. All applicants must provide IRS Form 990 for the years 2019, 2020, and 2021, showing the type of financial harm indicated above. Applicants must provide all three years’ tax forms.
  11. Award amounts are limited to the actual harm established, up to $25,000.

  12. Leave This Blank:

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