COVID-19 (Coronavirus) - Business Support Form

BUSINESS DETAILS

Business Name*
Forename*
Surname*
Email*
Telephone
Business Stage
Employer Size Band

SUPPORT

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IMPACT

Have you moved to a 'Business Closure'?
Impact on current sales or bookings?
Impact on future sales or bookings?
No. of Employees prior to the pandemic:
Full-Time
Part-Time
Current Impact on Employees Predicted in 3 Months
Not Impacted:
Working from Home:
Short Term Lay Off/ Unpaid Leave:
Furloughed:
Job Loss:
Job Gain: