COVID-19 Hardship Form

Personal Information

Name *

Phone Number *

Address *

NM State Racing Commission License # *

Are you an Owner, Trainer, or Owner/Trainer? *

Date License was Issued *

Please respond to all of the following questions.

Have you applied for small business association COVID-19 relief funds? *

Have you applied for other local, state and/or federal relief funds? (i.e. stimulus packages or unemployment) *

Are you a New Mexico Resident? *

If No, have you applied for relief through your state of residence? *

Have you been denied relief from any of the sources above? *

Do you pay stall rent in New Mexico? *

Do you have training bills? Can you provide copies of these bills? *

Do you have copies of 1099's or W2's for 2019? *

Are you paying day money? *

Are you receiving day money? *

How many horses do you have in active training? *

Are the horses still in the care of the trainer, or have they been taken by the owner? *

Where are these horse currently stabled? *

How many employees do you have? *

Provide the track name where your horses last ran. *

Are your horses currently race ready or have they been laid off? *

Please complete the following questions.

Reason for Hardship....Brief Description

In the space below please list the following in 1, 2, 3... numerical order: horse name, trainer name, owner name, number of starts, date of last workout, date of last race.

 Example:

1. Epona, Martin Ramirez, Izaiah Martinez, 12 starts, 03/27/20, 03/06/20

2. StarBright, Jennifer Hall, Wallace Chavez, 2 starts, 04/01/20, 02/15/20