NOTE: You can save and continue this form multiple times, but you must hit "Save and continue" bottom of the page.
If you do not have an account with Jotform, you will need to click on the “Skip Create an Account" link to be able to get the session link and come back later.
Please reference the IRS notices pertaining to 2020 qualifications: Notice 2021-11 & Notice 2021-20.
Order from the City's Mayor- An order from the city's mayor stating that all non-essential businesses must close for a specified period.
State Emergency ProclamationA State's emergency proclamation that residents must shelter in place for a specified period, other than residents who are employed by an essential business and who may travel to and work at the workplace location.
Curfew OrderAn order from a local official imposing a curfew on residents that impacts the operating hours of a trade or business for a specified period.
Workplace closure for cleaningAn order from a local health department mandating a workplace closure for cleaning and disinfecting.
Connecticut
Below is a list of the governmental orders that impacted the State of Connecticut. Click the link below to be able to read the individual orders.
Connecticut State Governmental Orders
• State of Emergency declared• Executive Order No. 7 Protection of Public Health and Safety During COVID-19 Pandemic and Response • Executive Order No. 7A Protection of Residents of Nursing Home Facilities, Residential Care Homes and Chronic Disease Hospitals During COVID-19 Pandemic• Executive Order 7B Protection of Public Health and Safety During COVID-19 Pandemic and Response Suspension or Modifications of Statutes • Executive Order No. 7C Protection of Public Health and Safety during COVID-19 Pandemic and Response – Further Suspension or Modification of Statutes• Executive Order No. 7D Protection of Public Health and Safety During COVID-19 Pandemic and Response – Crowd Reduction and Social Distancing• Executive Order No. 7E Takes several emergency actions in response to the COVID-19 outbreak and the governor’s civil preparedness and public health declarations • Executive Order No. 7F To Mitigate the Spread of COVID-19 • Executive Order No. 7G Takes Several Emergency Actions • Executive Order No. 7H Restrictions on Workplaces for Non-Essential Businesses, Coordinated Response Effort • Executive Order No. 7I Municipal Operations and Availability of Assistance and Healthcare• Executive Order No. 7J Clarifying EO No. 7H Regarding Operations at Non-Essential Businesses and Providing for Rapid State Government Emergency Response • Governor Lamont Uses CTAlert System to Urge Connecticut Resients to ‘Stay Safe, Stay Home’• Executive Order No. 7K Remote Notarization, Suspension of Non-Critical Probate and Workers’ Compensation Operations, and Various Public Health Measures • Executive Order No. 7L Extension of School Cancellation, Municipal Retiree Reemployment, Open Fishing Season and Additional Public Health Measures • Executive Order No. 7M Extension of Agency Administrative Deadlines • Governor Lamont Launches Emergency No-Interest Loan Program for Connecticut Small Businesses and Nonprofits Impacte by COVID-19 • Executive Order No. 7N Increased Distancing, Expanded Family Assistance, and Academic Assessment Suspension • Executive Order No. 7O Flexibility in DPH Licensing Renewal Requirements and Provider Assignment, Expanded Han Sanitizer Production, Waiver of Birth-to-Three Fees • Executive Order No. 7P Safe Housing for People Experiencing Homelessness, First Responders, and Healthcare Workers • Executive Order No. 7Q Childcare Safety, Remote Notarization Update • Governor Lamont Announces Governor’s Health System Response Team • Executive Order No. 7R Education Workforce Sustainability, State Parks Capacity Control, and Curbside Liquor Pickup • Governor Lamont Announces Mortgage Payment Relief During COVID-19 Crisis• Executive Order No. 7S Safe Stores, Relief for Policyholders, Taxpayers, and Tenants• Executive Order No. 7T Safe Lodging, Liquor Delivery, Additional Flexibility for Victims of Domestic Violence, Other Measures • Executive Order No. 7U Protections from Civil Liability for Healthcare Providers and Financial Protections for Patients • Executive Order No. 7V Safe Workplaces, Emergency Expansion of the Healthcare Workforce• Executive Order No. 7W Municipal Tax Relief Clarifications, Unemployment Experience Ratings, Administrative Requirements for Liquor Permittees• Executive Order No. 7X Renter Protections, Extended Class Cancellation and Other Safety Measures, Educator Certification, Food Trucks for Truckers• Executive Order No. 7Y Nursing Home Surge Plan• Executive Order No. 7Z Emergency Procurement, Remote Conduct of Assessment Appeal Hearings, Out-of-State Security Officers• Executive Order No. 7AA Temporary Additional Nursing Home Beds • Executive Order No. 7BB Use of Facemasks or Cloth Face Coverings, Rescheduling of Presidential Preference Primary to August 11• Executive Order No. 7CC Municipal Fiscal Authority, Benefits Protection, Access to Courts Without Certain In-Person Actions• Executive Order No. 7DD Expansion of Healthcare Workforce• Executive Order No. 7EE Mandatory Reporting for Nursing Homes and Assisted Living Facilities, Medicaid Administrative Waivers • Executive Order No. 7FF Expansion of Telehealth Availability• Executive Order No. 7GG Emergency Procurement of Essential Services, Other Public Health Measures • Executive Order No. 7HH Municipal Budget Adoption, Common-Interest Community Meetings• Executive Order No. 7II Extension of School Cancellation, Home Health Care Coverage, and Food Assistance Measures• Executive Order No. 7JJ Municipal Governance Measures and Authorization for DEEP to Conduct Programs Through Distance Learning• Executive Order No. 7KK Pharmacists Authorized to Order COVID-19 Tests• Executive Order No. 7LL Changes to petitioning process for ballot access • Executive Order No. 7MM Expedited Approval and Permitting for Expanded Outdoor Dining • Executive Order No. 7NN Remote Meetings of Nonprofit Organizations, Various Relief Measures, Coronavirus Relief Funds • Executive Order No. 7OO Procedures for Local Appointments and Elections Requiring In-Person Vote• Executive Order No. 7PP Phase 1 Reopening, Limitations on Camp Operations • Executive Order No. 7QQ Safe Voting During Statewide Primary• Executive Order No. 7RR Refunds by DEEP, Birth-to-Three Coverage, Waiver of Guest Book Requirement • Executive Order No. 7SS Temporary Nurse Aides• Executive Order 7TT Further Reopening Orders • Executive Order No. 7UU Staff Testing for Nursing Homes and Assisted Living; Definition of Suitable Work• Executive Order No. 7VV Expansion of Child Care Program Size • Executive Order No. 7WW Technical Clarification on Ballot Petitioning Process: Alcohol Service by Caterers• Executive Order No. 7XX Safety Precautions for Drive-In Ceremonies, Suspension of Involuntary Discharges from Nursing Homes to Homeless Shelters •Executive Order No. 7YY Resumption of Supreme and Appellate Court Requirements and Deadlines; Changes to DMV Operations to Reduce the Need for In-Person Visits • Executive Order No. 7ZZ Reopening Phase II • Executive Order No. 7AAA Modifications of Previous Executive Orders• Executive Order No. 7BBB Tri-State Travel Advisory for Travelers from States with High-Infection Rates, Other Public Safety Measures• Executive Order No. 7CCC Clarification of Assessment Appeals Timelines, Fire Service Examinations, Duplicate License Issuance• Executive Order No. 7DDD Extension of Eviction Moratorium and Administrative Deadlines• Executive Order 7EEE Additional Expenditures for Coronavirus Relief Fund, Online Continuing Education for Certain Trades• Executive Order 7FFF Payments to Private Non-Medical Institutions for Adults• Executive Order 7GGG Temporary Rental and Mortgage Assistance Programs; Extension of Time to Complete Continuing Education for Certain Trades• Executive Order 7HHH Extension of Authorization for Out-of-State Healthcare Providers• Proclamation from the Governor – Special Legislative Session to Begin July 21 • Executive Order 7III Mandatory Self-Quarantine of Travelers Arriving from States with High COVID-19 Infection Rates and Extensions of Certain Deadlines Applicable to the Department of Motor Vehicles• Executive Order 7JJJ Rebuttable Presumption Regarding Workers Compensation Benefits Related to Contraction of COVID-19 • Executive Order 7LLL Resumption of Certain Juveniles Court Requirements and Deadlines • EO 7MMM Protection of Public Health and Safety During COVID-19 Pandemic and Changes to Certain Absentee Ballot Procedures in Response to Tropical Storm Isaias• EO 7NNN Protection of Public Health and Safety During COVID-19 Pandemic – Masks and Face Coverings• EO 7OOO Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Eviction Moratorium and Outdoor Dining Expansion, Resumption of Requirements for Defaults and Nonsuits in Civil and Family Matters• Executive Order 9 Protection of Public Health and Safety During COVID-19 Pandemic – Authority to Issue Guidance and Rules Related to School and Childcare Settings and Extension of Restrictions on Sale of Alcohol without Food• Executive Order 9A Protection of Public Health and Safety During COVID-19 Pandemic – Extension of COVID-19 Executive Orders• Executive Order 9B Protection of Public Health and Safety During COVID-19 Pandemic – Revisions to Self-Quarantine for Certain Travelers, Enforcement Provisions for Masking and Gathering Requirements, Repeal of Extended Credit Period for Liquor Permittees• Executive Order 9C Protection of Public Health and Safety During COVID-19 Pandemic – Revisions to Self-Quarantine for Certain Travelers, Resumption of Certain Non-Judicial Municipal Tax Sales • Executive Order 9D Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Limits on Alcohol Sales without Food and Flexibility in Education IT Contract Administration• Executive Order 9E Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Eviction Moratorium, Club Liquor Permits, and Effective Date of Insurance Data Security Law• Executive Order 9F Protection of Public Health and Safety During COVID-19 Pandemic – Phase III Reopening Changes for Religious Gatherings• Executive Order 9G Protection of Public Health and Safety During COVID-19 Pandemic – Municipal Authority to Revert to More Restrictive Size and Capacity Limitations• Executive Order 9H Protection of Public Health and Safety During COVID-19 Pandemic – Remote Participation in Municipal Meetings, Technical Corrections to Extension of Eviction Moratorium in Executive Order No. 9E• Executive Order 9I Protection of Public Health and Safety During COVID-19 Pandemic – Revisions to Travel Advisory• Executive Order 9J Protection of Public Health and Safety During COVID-19 Pandemic – Municipal Authority to Revert to More Restrictive Size and Capacity Limitations, Extension of Deadline to Provide Notice of Early Ballot Process• Executive Order No. 9K Protection of Public Health and Safety During COVID-19 Pandemic – Increased Protective Measures in Response to COVID-19 Resurgence• Executive Order No. 9L Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Current Effective Executive Orders• Executive Order No. 9M Protection of Public Health and Safety During COVID-19 Pandemic – Expansion of DECD Authority to Regulate Sports, Changes to Certain Requirements Related to Liquor Permits, Extended Continuing Education Provisions for Certain Trades• Executive Order No. 9N Protection of Public Health and Safety During COVID-19 Pandemic – Additional Enforcement Authority Regarding Violations of Size and Capacity Limits• Executive Order No. 9O Flexibility for Short-term Substitute Teacher, Alcohol Sales During Charity Fundraising Events, Resumption of Certain Judicial System Requirements and Deadlines• Executive Order No. 9P Increase in Weekly Benefit Amount and Qualification for Lost Wages Assistance and Remote Licensing Examinations• Executive Order No. 9Q Vaccine Administration, Reporting and Out-of-Network Charges• Executive Order No. 9R Modification of Municipal Tax Payment Provisions; Assessor Certification Program Waiver; Alcoholic Liquor Sale by Caterers• Executive Order N. 9S Revisions to Travel Advisory; Temporary Suspension of Licensure Requirements for Certain Out-of-State Healthcare Providers• Executive Order No. 9T Extension of Protections for Renters• Executive Order No. 10 Paid Leave for School Employees, Waiver of Commuter Lot Restrictions to Establish Vaccination Sites, Waiver of Refiling Requirements for Elderly and Veterans’ Tax Relief, Exclusion of Stimulus Payments from State Benefit Eligibility Calculations, Liquor Permit Extension, Relaxation of Religious Gathering Limits, Absentee Ballots for Special Elections and Municipal Primaries• Executive Order No. 10A Extension of COVID-19 Orders, Expiration of Healthcare Facility Immunity and of Certain Orders Affecting Court Operations• Executive Order 10B Protection of Public Health and Safety During COVID-19 Pandemic – Early Opening of Fishing Season • Executive Order No. 10C Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Expanded Access to Telehealth Services• Executive Order No. 10 D Protection of Public Health and Safety During COVID-19 Pandemic – Relaxation of Certain Capacity Limits and End of Mandatory Post-travel Self-Quarantine• Executive Order No. 10E Protection of Public Health and Safety During COVID-19 Pandemic – Absentee Ballot Use for an Election, Primary, or Referendum• Executive Order No. 11 Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Selected COVID-19 Executive Orders• Executive Order No. 11A Protection of Public Health and Safety During COVID-19 Pandemic – COVID-19 Safety and Measures and Enforcement• Executive Order No. 11B Protection of Public Health and Safety During COVID-19 Pandemic – Consolidation of Orders Pertaining to Liquor Permits• Executive Order No. 11C Protection of Public Health and Safety During COVID-19 Pandemic – Authority to Restrict Visitation in Certain Congregate Settings to Limit Transmission of COVID-19• Executive Order No. 11D Protection of Public Health and Safety During COVID-19 Pandemic – Flexibility in Business Rules to Support COVID-19 Response• Executive Order No. 11E Protection of Public Health and Safety During COVID-19 Pandemic – Extension of Additional COVID-19 Executive Orders• Executive Oder No. 11F Protection of Public Health and Safety During COVID-19 Pandemic – Remote DMV Credentials, Outdoor Alcohol Service• Executive Order No. 12 Protection of Public Health and Safety During COVID-19 Pandemic – Revised Order for Masks and Face Coverings• Executive Order 12A Protection of Public Health and Safety During COVID-19 Pandemic – Revised Order for Masks and Face Coverings• Executive Order 12B Protection of Public Health and Safety During COVID-19 Pandemic – Extension and Expiration of COVID-19 Orders • Executive Order 12C Protection of Public Health and Safety During COVID-19 Pandemic – Extension and Expiration of COVID-19 Orders• Executive Order No. 12D Protection of Public Health and Safety During COVID-19 Pandemic – Post-Moratorium Requirements Related to Evictions and Notices to Quit•Executive Order No. 13 Protection of Public Health Orders and Safety During COVID-19 Pandemic – Extension of COVID-19 Orders• Executive Order 13A Protection of Public Health and Safety During COVID-19 Pandemic – Revised Order for Masks and Face Coverings, Nursing Home Staff TestingExecutive Order 13B Protection of Public Health and Safety During COVID-19 Pandemic – Long-Term Care Facility Staff Vaccination• Executive Order No. 13C Protection of Public Health and Safety During COVID-19 Pandemic – COVID-19 Immunization Information Access• Executive Order No. 13D Protection of Public Health and Safety During COVID-19 Pandemic – Vaccinations Required for State Employees, School Employees and Childcare Facility Staff• Executive Order No. 13E Protection of Public Health and Safety During COVID-19 Pandemic – Temporary Nurse Aide Program• Executive Order No. 13F Protection of Public Health and Safety During COVID-19 Pandemic – Long-Term Care Facility Staff Vaccination• Executive Order No. 13G Protection of Public Health and Safety During COVID-19 Pandemic – Vaccination Requirements for State Employees, School Staff, and Child Care Workers• Executive Order No. 14 Protection of Public Health and Safety During COVID-19 Pandemic – Extension of COVID-19 Orders• Executive Order No. 14A Protection of Public Health and Safety During COVID-19 Pandemic – Extension of COVID-19 Orders
Below is a link that will allow you to provide the perfect answer to the question below. Once complete, please upload it to the portal with the file name “Your Company Name- ERTC- Survey Two, Part Two- Perfect Answer”
Download our ERTC Survey Two, Part Two- Perfect Answer
Click the link above, it will download the worksheet to your computer, where you will need to save it to the location of your choice