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COVID-19 Relief Application, Small Business

  • OK First Name is required
  • OK Last Name is required
  • OK Email Address is required
  • OK Phone Number is required
  • OK Relief Desired is required
  • OK Brief explanation of relief desired above is required
  • OK Brief explanation of what adverse economic effects COVID-19 has had/is having on your business is required
  • OK When did the impact start? (M/D/YY) is required
  • OK What is the estimated end date of impacts? (M/D/YY) is required
  • OK What are your business revenues during the COVID-19 outbreak time period? is required
  • OK What were your business revenues during the SAME period of the prior year? is required
  • OK Amount of business interruption insurance received or anticipated, if any? is required
  • OK How many employees did you employ prior to the COVID-19 outbreak? is required
  • OK How many employees do you employ at this time? (during the COVID-19 outbreak)? is required
  • OK is required