Vendor Business Economic Injury Worksheet
Please complete this form to the best of your ability and as accurately as possible regarding loss of revenue related to event cancellations due to COVID-19.
Service the above business provides to festivals and events:
Contact Info (Name, Email, Phone #)
How many festivals or events that your business was contracted to participate in have been cancelled or postponed?
If possible, please list the names and dates of those events below.
With the best and most accurate number possible, what is the projected loss of revenue for your business pertaining to festival and event cancellations?
What were your business revenues during the same time period last year?
Did you experience loss of inventory due to these cancellations?
If yes, what is the estimated value of that loss?
Were you eligible for insurance? If yes, what is the estimated payout?
Directly, how many are employed by your business?
Indirectly, (meaning participating vendors) how many were employed by your event?
Without assistance, what is the likelihood that your event will survive or be able to continue?
Not at all
It's a possibility
We'll be fine
Are you currently eligible for any other assistance or disaster relief? If so, please list below with amounts if known.
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