Business Recovery Questionaire

2. 

4. Business Name*

5. Contact Person*

7. Business Address

9. City

10. State

11. Zip

13. Daytime Phone

14. Contact Email

16. Disclaimer*

    I understand that failure to include a daytime phone or contact email may prohibit the BRTF from contacting me.

    1. I understand.
20. Indicate below which topics you'd like to know more about (check all that apply).

    1. SBA loans and grants (EIDL, PPP)
    2. Workforce (employee relations, training, retention, etc)
    3. Marketing (websites, social media, digital platforms, etc)
    4. Utility payments
    5. Financial planning
    6. Other

22. Describe your "other" here.

24. Thank you! A representative from the Business Recovery Team will contact you as soon as possible.

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field