ERTC Form

1

First Name* This field is required.

2

Last Name* This field is required.

3

Law Firm Name / Company Name* This field is required.Please type in the exact spelling of your law firm's / company's legal name.

4

Email* This field is required.The email that you are MOST responsive to.

5

Was Your Firm / Company Founded Before or After Feb. 15th, 2020?* This field is required.

Before Feb 15th, 2020

After Feb 15th 2020

6

How Many Full-Time W2 Employees Do You Have Currently?Please use number characters "1," "40," etc... and NOT letters

7

Approximate 2021 Revenues

8

Projected 2022 Revenues

9

Cell Phone* This field is required.This allows our internal team to communicate with you via text to expedite the process.

10

Are You The Owner or Officer of Your Firm / Company?

YesNo

11

No-Guarantees & Authorization to Contact YouBy submitting your information you are not obligated to sign any services with SMB Team Legal or its partners. SMB Team Legal and its partners do not promise qualification by completing submission. The qualification for ERTC will be determined by SMB Team Legal partners. Even if you do apply, SMB Team Legal and its partners do not guarantee results or that you will receive any money under the ERTC. By submitting this information, you agree to allow SMB Team Legal and partners to contact you. The contact methods may include text, phone calls and email.

YESNO