FFCRA / SETC Questionnaire & Document Upload

FFCRA / SETC Detailed Questionnaire and Document Upload
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The FFCRA / SETC offers financial relief to self employed individuals, 1099 subcontractors, single member LLC members (owners), and sole proprietors, for each day of missed work due to COVID-related issues whether for personal or family care needs or their business was closed for a period due to local or state gov't mandates.
*Subchapter S income is not qualified.

This includes up to 110 days for childcare and up to 20 days for personal care. The tax credit you receive is determined by the number of days you choose, and it's important to note that the same dates cannot be selected twice.
In this next section, you will select dates you’ve missed work due to COVID-related issues to calculate your FFCRA amounts.
Not sure which dates you’ve missed? If necessary, estimate as closely as possible. Here are a few places to check:
Calendar
Government Websites/Social Media
Emails
Health Insurance records
Social Media
School websites/Social Media
Financial Records

*Note: If you filed joint returns and your spouse or partner is also "self employed", you may both be eligible if different dates; please fill 2 questionnaires.
Please indicate the dates (max. 10 working days) during which you were personally unable to attend work or provide services due to any COVID-related issues between
January 1, 2021 and March 31, 2021.
(Eligible for up to a Max of 10 working days Credit)*

From: Date To: Date
From: Date To: Date
(If exact dates are unknown, please provide an estimated date range)
Please indicate the dates (max. 10 working days) during which you were personally unable to attend work or provide services due to any COVID-related issues between
April 1, 2021 and September 30, 2021.
(Eligible for up to a Max of 10 working days Credit)*

From: Date To: Date
From: Date To: Date
(If exact dates are unknown, please provide an estimated date range)
If you were unable to attend work or provide services because you provided care to someone (a member of your household) affected by COVID-19 between January 1, 2021 and March 31, 2021, please indicate the dates (max. 10 working days) you did so.
(Eligible for up to a Max of 10 working days Credit)*
From: Date To: Date
From: Date To: Date
(If exact dates are unknown, please provide an estimated date range)
If you were unable to attend work or provide services because you provided care to someone (a member of your household) affected by COVID-19 between April 1, 2021 and September 30, 2021, please indicate the dates (max. 10 working days) you did so.
(Eligible for up to a Max of 10 working days Credit)*
From: Date To: Date
From: Date To: Date
(If exact dates are unknown, please provide an estimated date range)
If you have a child under the age of 18 whom you claimed as a dependent in 2020, please indicate the number of working days (max. 50) you were unable to attend work or provide services because, due to schools or daycares being closed, you provided care for your child between January 1, 2021 and March 31, 2021. (Eligible for up to a Max of 50 working days Credit) :
Required: Letter, email, or other proof indicating dates closed.
If you have a child under the age of 18 whom you claimed as a dependent in 2021, please indicate the number of working days (max. 60) you were unable to attend work or provide services because, due to schools or daycares being closed, you provided care for your child between April 1, 2021 and September 30, 2021. (Eligible for up to a Max of 60 working days Credit) :
Required: Letter, email, or other proof indicating dates closed
*File Upload:
Income Tax Returns 2020, 2021

If applicable, and if available: Letter, email, etc. or other proof showing dates school or daycare were closed.
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*Copy of Driver License

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FFCRA / SETC Detailed Questionnaire and Document Upload

CONTACT US WITH ANY QUESTIONS!