Fast ERC - Get Started Form

1
What is your First and Last name?* This field is required.
First Name
Last Name
2
What is your E-Mail address?* This field is required.
example@example.com
3
How would you categorize your business?* This field is required.
4
What state is your business in?* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
5
When did you start your business?* This field is required.
6
Has your business been impacted or changed by COVID?* This field is required.
YES. My business has been impacted by COVIDNo, we have been completely unaffected
7
Did your business suffer a drop in gross receipts in 2021 compared to 2019?* This field is required.Gross receipts are the total amounts the organization received from all sources during its annual accounting period, without subtracting any costs or expenses.
YESNO
8
Did your business suffer a drop in gross receipts in 2020 compared to 2019?* This field is required.Gross receipts are the total amounts the organization received from all sources during its annual accounting period, without subtracting any costs or expenses.
YESNO
9
Have any of your business suppliers been subjected to a shutdown order or restricted hours?* This field is required.
YESNO
10
Has your business been subjected to a shutdown order or restricted hours?* This field is required.
YESNO
11
Was any of your business unable to operate at full capacity due to shutdown orders or restricted hours?* This field is required.
YESNO
12
Did you pay any employees to NOT work during the pandemic?* This field is required.
YESNO
13
Was your business closed for any period during 2020 due to Covid-19?* This field is required.
YESNO
14
Was your business closed for any period during 2021 due to Covid-19?* This field is required.
YESNO
15
Approximately how many employees did you have in 2021?* This field is required.
16
Approximately how many employees did you have in 2020?* This field is required.
17
Credit Up To
18
Great news! It looks like you could potentially receive an Employee Retention Tax Credit of up to*

${creditUp}

*This is an estimate only based on the employee counts entered and does not represent a guarantee of the credit amount you will receive, or that you will qualify for the program.
19
Referral SourceIf you were referred to us by someone let us know their name so we can thank them!
20
Let's get some basic information* This field is required.Fill out this form to complete the assessment
Business Name
Best Contact Phone Number
Please Select
Please Select
Phone
Text Message
E-Mail
Preferred Method of Communication
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