Industrial Forms Select a form Industrial - Background Form Industrial - On-site Form Industrial - Post Visit Form Industrial - Background Form Industrial Background Form1Your Information2Company Information3Company Contacts4Parent Company Information5Status6Local Employment7Facility8Utility Services9Community ServicesYour InformationPerson filling out form*Phone*DateCompany InformationCompany Name*Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Sectors*Advanced ManufacturingAeronautics and DefenseAgricultureBuilding & ConstructionBusiness ServiceCommunicationsConsumer Goods ProducerConsumer ServicesConvention/TourismCreative ArtsDiversifiedDurable Goods ProducerEnergy & Energy UtilitiesFilm and Movie ProductionFinance, Insurance, & Real Estate (F.I.R.E.)ForestryGovernmentHealth Care & PharmaceuticalsHigh End Business ServiceIndustrial GoodsMineralNon-ProfitRetail Related OperationsTechnology/InformationTelecommunicationsUtilitiesDownload the printable PDF for sector descriptions DownloadNAICS*561 - Administrative and Support Services3364 - Aerospace Manufacturing115 - Agricultural & Forestry - Support Activity112 - Animal Production315 - Apparel Manufacturing3361 - Automotive Manufacturing312 - Beverage and Tobacco515 - Broadcasting (except internet)233 - Building, Developing, and General Contracting325 - Chemical Manufacturing/Biopharmaceuticals334 - Computer and Electronic Product Manufacturing234 - Construction - Heavy238 - Contractors - Special Trade522 - Credit Intermediation and Related Activities111 - Crop Production518 - Data Processing, Hosting and Related Services611 - Educational Services335 - Electrical Equipment, Appliance, and Component Manufacturing332 - Fabricated Metal Product Manufacturing311 - Food Manufacturing113 - Forestry and Logging525 - Funds, Trusts, and Other Financial Vehicles337 - Furniture and Related Product Manufacturing622 - Hospitals524 - Insurance Carriers and Related Activities316 - Leather and Allied Product Manufacturing333 - Machinery Manufacturing551 - Management of Companies and Enterprises213 - Mining - Support Activity212 - Mining (except Oil and Gas)339 - Miscellaneous Manufacturing512 - Motion Picture & Sound Recording327 - Nonmetallic Mineral Product Manufacturing81 - Non-Profits; Religious, Grantmaking, Civic, Professional, and Similar Organizations; Other Services211 - Oil and Gas Extraction519 - Other Information Services322 - Paper Manufacturing324 - Petroleum and Coal Products Manufacturing326 - Plastics and Rubber Products Manufacturing3261 - Plastics Manufacturing331 - Primary Metal Manufacturing323 - Printing and Related Support Activities541 - Professional (Business), Scientific, & Technical Services92 - Public Administration511 - Publishing Industries (except Internet)523 - Securities, Commodity Contracts, and other Financial Investments and Related Activities711 - Sports Advisory Service517 - Telecommunications313 - Textile Mills314 - Textile Product Mills48 - Transportation336 - Transportation Equipment Manufacturing221 - Utilities493 - Warehousing & Storage562 - Waste Management & Remediation Services321 - Wood Product ManufacturingDownload the printable PDF for NAICS descriptions DownloadWebsite Company Email Previous Company Name (if applicable)Electric UtilityNatural Gas UtilityCompany ContactsContact #1Name First Middle Last TitleCell PhoneWork PhoneEmail Contact #2Name First Middle Last TitleCell PhoneWork PhoneEmail Parent Company Information (if applicable)Parent NameAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneWebsite Top Executive Name First Last Executive TitleStatusMember/Investor* Yes NoBeginning of fiscal yearJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberType of ownership (check all that apply)* Public Family Minority-owned State Government Employee-owned Veteran-owned Native American Federal Government Private Woman-owned Non-profit Foreign Owned6-Digit NAICS code(s) Primary product(s)Local EmploymentFull NameShifts per dayPart timeDays per weekContract/LeasePeak employment season Spring Summer Fall Winter NoneNumber of jobs added or lost in the past three yearsUnion at company* Yes NoPrimary unionContract expiration dateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employment by position - numberManagementTechnicalSales/MarketingAdministrative/OfficeProductionTotal gross annual payrollFacilityRoom for expansion* Yes NoLease expiration dateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Facility ownership* Own LeaseProperty owner informationBuilding Size (sq. ft.)Number of buildingsAcreageType of facility (check all that apply) Office operation Headquarters Distribution/Warehouse Branch Plant Division R&D ManufacturingOther facility with similar products* Yes NoLocationsAge of main building < 10 years 10-25 years > 25 yearsCondition of building Excellent Good Average Fair PoorFacility appeal Excellent Good Average Fair PoorFacility functionality Excellent Good Average Fair PoorPast expansion/reduction Expansion ReductionPast expansion dateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Past reduction dateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expansion Sq. Ft.Reduction Sq. Ft.Expansion InvestmentReduction InvestmentNumber of Expansion JobsNumber of Reduction JobsExpansion purposeReduction purposeUtility ServicesHow is the consumption of the following utilities changing?IncreasingStableDecreasingWaterSewerNatural GasElectricTelecom (voice)Cellular serviceInternet accessInternet speedPlease rate your satisfaction with your utility providers1234567WaterSewerNatural GasElectricTelecom (voice)Cellular serviceInternet accessInternet speedPlease comment on any utility services with low satisfaction (3 or lower) or high (5 or above)UtilityComment Utility NotesCommunity ServicesPlease rate the quality of the following services provided by the community on a scale of 1 to 7, 7 being high.1234567Police protectionFire protectionAmbulance paramedic serviceHealth care servicesChild care servicesSchool (K-12)Tech collegeCommunity collegeCollege(s) and university(ies)Public transportationTraffic controlStreets and roads (local)Highways (State & Federal)Airline passenger serviceAir cargo serviceTruckingProperty tax assessment (fair & equitable)Zoning changes and building permitsRegulatory enforcement (fair & equitable)Community planningCommunity services (not otherwise listed)County services (not otherwise listed)Chamber of Commerce or business associationEconomic development organizationWorkforce servicesPlease comment on any services with low satisfaction (3 or lower) or high (5 or above)ServiceComment Services Notes Industrial - On-site Form Industrial On-Site FormStep 1 of 812%CompanyCompany NameAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of VisitMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Lead Interviewer First Last Contact Name First Last Assisted By First Last Other ParticipantsFirst NameLast Name AppointmentProducts/Services1. What is your company’s greatest achievement in the last three (3) years?2. Where is the company’s primary product/service in its life cycle? Emerging Maturing Growing DecliningComments3. Has the company introduced new products/services/capabilities in the last five (5) years? Yes NoComments4. Are new products/services anticipated in the next two (2) years? Yes NoComments5. As a percent of sales, how much does the company spend on R&D? None 1%-2% 3%-6% Over 6%As a percentage, approximately how is the R&D budget divided among:New product developmentProduct improvement(s)Production improvement(s)Total 100%Where is the R&D facility located?Product NotesMarket6. Is the company's primary market: Local Regional National International7. Are total company sales: Increasing Stable Decreasing8. Is the market share of the company's key product(s): Increasing Stable DecreasingWhat's changing?9. Are key customers at risk of moving overseas, merging, or closing: Yes NoPlease explain:10. Does the company plan to expand in the next three years: Yes NoEstimated InvestmentApproximate percentage equipment/technologyApproximate percentage real estateEstimated number of jobs added or lost (-)Estimated facility size increaseApproximate date of expansionMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Comments?11. Are international sales as a percentage of total sales: Increasing Stable Decreasing No int'l salesWhat percentage of sales comes from international sales? 0% 1-20% 21-40% 41%-60% 61%-80% 81%-100%What are you international markets?12. Is the percentage of international outsourcing by the company: Increasing Stable Decreasing None13. Does the company have facilities outside the country? Yes NoAre they contract production or a company facility: Contract production Company facilityWhat is the function of the international location(s)Where are international facilities locatedMarket NotesIndustry14. Is merger, acquisition or divestiture activity in your industry: Increasing Stable Decreasing15. In your industry, is production: Under capacity Balanced Over capacity16. Do you anticipate any federal, state, or local legislation changes that will adversely affect your business in the next five years: Yes NoWhat changes?How will they affect the company?Management17.1 Has the company’s ownership changed in the last 18 months, or do you anticipate a change: Changed Change Pending NoPlease explain:17.2 Has the company’s top management changed or is it expected to change in the next 18 months: Changed Change Pending NoPlease explain:What impact will this/these changes have on the local operation?18. What are the community’s strengths as a place to do business?19. What are the community’s weaknesses as a place to do business?20. Are there any barriers to growth in this community? Yes NoWhat are the growth barriers?21. Does the attitude among executives at corporate headquarters toward this community as a place to do business differ from local management: Yes NoPlease explain:22. Are there any reasons the community may not be considered for future expansion? Yes NoPlease explain:23. Who are the largest suppliers in the area and the three largest out‐of‐area suppliers? Ans No AnsProduct/service, company, and current location?Management NotesWorkforce24. Survey1 - Low / 7 - High1234567How do you rate the availability of workers in this area:How do you rate the quality of workforce in this area:How do you rate the stability of workforce in this area:As compared to other company facilities, how would you rate productivity in this facility:25. Are there any reasons the community may not be considered for future expansion? Yes NoWhat problems, positions, or skills?26. Is the number of unfilled positions:IncreasingStableDecreasing26a. Approximate number of unfilled positions today:26b. Approximately when will these jobs be filled?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192026c. Current full-time employment26d. Current part-time employment26e. Current contract employment27. Have you experienced, or do you anticipate any significant changes in the make‐up of your workforce? Yes NoHow did/will you deal with this change? Hiring Replacing Releasing28. Are primary recruitment problems limited to: Community Industry None28a. What is the average age of employees?28b. Do you use a temp agency to find workers? Yes NoApproximately what percentage of your employees are temps?28c. Approximately what percentage of full‐time workers are heads of households?28d. Do you import employees from outside the normal drive range of 30 minutes? Yes NoHow far does the farthest employee travel?28e. What percentage of workers are salary?28f. What percentage of workers are hourly?28g. What is your wage range?28h. If any, what benefits are offered? Health Insurance Pension 401k/Profit Sharing NoneBenefits are offered to: Full-time Part-time Both29. Is company investment in employee training: Increasing Stable Decreasing NoneWhat percentage of the training budget is for new job skills training?What percentage of the training budget is for proficiency training?What percentage of the training budget is for remedial skill training?Workforce NotesWhat steps can or should be taken at a local level for workforce, educational or vocational training?Technology30. Is there new technology emerging that will substantially change either your company’s primary product/service or how it is produced? Yes NoExplain new technology:31. Is the community’s technology infrastructure adequate for your company’s growth plan? Yes NoComments:Technology NotesUsing a scale of 1 to 7, 1 meaning not at all likely and 7 meaning very likely, if in the future you were to expand or relocate your business, how likely for your location?1 - Low / 7 - High1234567As a business organization, what activities or initiatives should the GEDC be doing to support or enhance your business? Industrial - Post Visit Form Industrial Post Visit FormStep 1 of 333%CompanyAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of VisitMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Lead InterviewerContact NameAssisted byAppointmentOther ParticipantsCompany Assessment1. Do you have any reason to believe this company’s role in the community could be changing? Yes NoComments2. Is there any reason to believe this company is at risk of leaving the community? Yes NoCommentsProduct NotesExecutive Assessment3. Is the company or its executives undergoing any form of stress that could be of concern for the company’s stability in the community? Yes NoComments4. Rank the executive’s support for the community as a place to do business?1 (Low)234567 (High)5. Rank the executive value for working with the economic development program in some capacity?1 (Low)234567 (High)Interviewer Notes
