Employee Retention
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Employee Retention
Employee Retention Credit Interest Form
Contact Person
(required)
Company Name
(required)
Email Address
(required)
Phone Number
(required)
Name(s) of Company Officers
(required)
Name(s) of Company Directors
(required)
Name(s) of Relative(s) employed by company
(required)
Did you receive a PPP?
(select all that apply)
PPP1
PPP2
None
PPP1: Date Received, Amount Received, Percentage Forgiven
PPP1 Forgiveness: What is the coverage period and quarter forgiven?
8 Weeks
Quarter 1
Quarter 2
Quarter 3
Quarter 4
24 Weeks
Quarter 1
Quarter 2
Quarter 3
Quarter 4
PPP2: Date Received, Amount Received, Percentage Forgiven
PPP2 Forgiveness: What is the coverage period and quarter forgiven?
8 Weeks
Quarter 1
Quarter 2
Quarter 3
Quarter 4
24 Weeks
Quarter 1
Quarter 2
Quarter 3
Quarter 4
Select the qualifying event(s) that apply to you
(select all that apply)
Full shutdowns
Partial shutdowns
Interrupted operations
Supply chain interruptions
Inability to access equipment
Limited capacity to operate
Inability to work with your vendors
Reduction in services or goods offered to your customers
Cut down in you hours of operation
Shifting hours to increase sanitation of your facility
Impact to your normal operations
Unable to fly or attend trades shows in person
Gross receipts declined by 50% in 2020 from 2019
Gross receipts declined by 20% in 2021 from 2019
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