Festival/Event 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.
Email address *
Festival/Event Name
Your answer
Contact Info (Name, Email, Phone #)
Your answer
Has your festival or community event been cancelled due to COVID-19?
What was the original date of your event?
Your answer
What was the estimated attendance?
Your answer
Are you a non-profit?
If yes, what is the name of the non-profit?
Your answer
Based on previous years, what was the projected revenue from the event that was cancelled?
Your answer
Based on previous years, what is the ESTIMATED economic value of this event to its community?
Your answer
Were you eligible for insurance? If yes, what is the estimated payout?
Your answer
Directly, how many were employed by your event?
Your answer
Indirectly, (meaning participating vendors) how many were employed by your event?
Your answer
Without assistance, what is the likelihood that your event will survive or be able to continue?
Are you currently eligible for any other assistance or disaster relief? If so, please list below with amounts if known.
Your answer
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