Business Name
*
First Name
*
Last Name
*
Telephone
*
Email
*
Do you, or any partial owner of this business, own any percentage of another business?
*
Type of Business/Industry
How many W-2s were issued in 2020
*
How many W-2s were issued in 2021
*
did you operate under a full or partial shutdown order?
*
Option 1
Option 2
Option 3
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