• ERC Survey 2- American Samoa Governmental Shutdown Orders

  • 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.

  • Full or Partial Governmental Shutdown Orders

  • 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 Proclamation
    A 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 Order
    An 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 cleaning
    An order from a local health department mandating a workplace closure for cleaning and disinfecting.

  • America Samoa

    Below is a list of the governmental orders that impacted America Samoa.  Click the link below to be able to read the individual orders.

    America Samoa Governmental Orders

     

    • Governor Announces Code Blue: School Closure, Gatherings Restricted to 10 People or Less 
    • Executive Order 001-2020
    • Second Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19
    • State of Emergency Declared
    • Response and Action Plan
    • Third Amended Declaration of Continued Health Emergency

    • Fourth Amended Declaration of Continued Health Emergency
    • Fifth Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19

    • Executive Order 002-2020 An Order to Adopt Provisions of the Hawaii Employment Security Law for Implementation of Pandemic Unemployment Assistance and Federal Pandemic Unemployment Compensation Programs
    • Sixth Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19
    • Seventh Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19
    • Eighth Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19
    •
    Ninth Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19

    • Tenth Amended Declaration of Continued Public Health Emergency and State of Emergency for COVID-19
    • Declaration of Ongoing Public Health Emergency and State of Emergency

    • Declaration of Ongoing Public Health Emergency and State of Emergency
    • Declaration of Ongoing Public Health Emergency and State of Emergency

    • Declaration of Ongoing Public Health Emergency and State of Emergency
    • Declaration of Ongoing Public Health Emergency and State of Emergency
    •
    Declaration of Ongoing Public Health Emergency and State of Emergency

    • Declaration of Ongoing public Health Emergency and State of Emergency

  • 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

  • Should be Empty: