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CONTACT INFORMATION
75 Aero Camino Suite 201
Goleta, CA 93117
+1 866 688 0039
Did you experience a Covid-19 event that negatively affected your business operations in 2020 and/or 2021?
*
Yes
No
Required Field*
Many experienced a Covid-19 event. If you experience even one of the Covid-19 examples below (or a similar event) during a quarter in 2020 or 2021, your business could qualify for that quarter and you would select
“Yes”
to this question.
Revenue reduction in any quarters of 2020 and/or 2021, compared to the same quarter in 2019
Change in business hours
Partial or full suspension of your operations
Shutdowns of your supply chain or vendors
Reduction in services offered
Reduction in workforce or employee workloads
A disruption in your business (division or department closures)
Inability to visit a client’s job site
Suppliers were unable to make deliveries of critical goods or materials
Additional spacing requirements for employees and customers due to social distancing
Change in job roles/functions
Tasks or work that couldn’t be done from home or while transitioning to remote work conditions
Lack of travel
Lack of group meetings
How many W-2’s did you issue in 2020?
None Issued
1-5
6-20
21-50
51-100
101+
Required Field*
How many W-2’s did you issue in 2021?
None Issued
1-5
6-20
21-50
51-100
101+
Required Field*
Did you have a reduction in revenue in 2002 and/or 2021?
*
IMPORTANT:
You can still qualify for this refund even if your revenues INCREASED, so please be honest
Yes
No
Required Field*
Do you own any other companies?
*
Even if it’s only partial ownership of another business
Yes
No
Required Field*
What is your industry?
*
Attorney
Church / House Of Worship
Construction
Fitness / Gym
Hospitality (Hotel, Travel)
Healthcare (Doctor, Dentist, Etc.)
Manufacturing
Personal Care (Hair Salon, Nail Salon, Massage, Etc.)
Professional Services (Accounting, Insurance, Financial Services)
Restaurant / Bar
Retail
Staffing
Other
Required Field*
When did your company originally begin operating?
When did the business first start up?
Before Feb 15th 2020
After Feb 15th 2020
Required Field*
Did you qualify for a PPP loan in 2020 or 2021?
Even if it was forgiven, paid back, currently active, or not taken.
Yes
No
Required Field*