ERC Onboarding
Sign in to Google to save your progress. Learn more
Email *
What is the name and position of person submitting this form? *
What is the legal name of the Business? *
What is the Business' telephone number? *
Where is the Business located? (City, State) *
What type of entity is the Business? *
Was the Business in operation before February 19, 2020? *
What does the Business do? (example: "restaurant, "insurance", "healthcare", etc) *
List the names of the Business owner(s) and their ownership percentage *
If the Business has more than one owner, are any of the owners related? *
Do any of the owners of this Business own any other companies that have W2 employees? *
How many (estimated) W2 employees are on payroll at any given time in 2020 and 2021? *
Are there any employees on payroll that are related to an owner (please list the names of the employees, who they are related to, and how they are related)
Did the Business have more than 100 full time employees in 2019? *
Did the Business have more than 500 full time employees in 2019? *
Did the Business receive the first PPP? *
Did the Business receive the second PPP? *
Did the Business receive the Shuttered Venues Grant? *
Did the Business receive the Restaurant Revitalization Grant? *
Who handles the payroll for the company? *
Does your business pay any portion of employees' healthcare? *
If you have a third party payroll processor, are they a PEO? (A PEO is a Professional Employer Organization; they are "co-employers" who "lease" your employees back to you) *
If you use a PEO, which company do you use?
How did you hear about us? *
Is there anything else about the Business, its ownership, or its operations that you think we should know?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Clarity Tax Solutions.

Does this form look suspicious? Report