SETC Questionnaire

1
Were you self-employed in 2020 and/or 2021* This field is required.Sole proprietor or 1099 contractor
YESNO
2
How many days were you unable to work because you were personally affected by Covid?* This field is required.How many days of work were missed because you were subject to a federal, state, or local quarantine or isolation order related to COVID-19. You were advised by a health care provider to self-quarantine due to concerns related to COVID-19. You were experiencing symptoms of COVID-19 and seeking a medical diagnosis. You were seeking or awaiting the results of a diagnostic test for, or a medical diagnosis of COVID-19. You were exposed to COVID-19 or were unable to work pending the results of a test or diagnosis. You were obtaining immunization related to COVID-19. You were recovering from any injury, disability, illness, or condition related to such immunization
Up to 10 days between 1/1/21 - 3/31/21
Up to 10 days between 4/1/21 - 9/30/21
3
Did you care for a child (under 18) that was enrolled in a school or daycare that was shut down or switched to virtual learning?How many days were unable to work because you were caring for a child who had their education disrupted by Covid restrictions?
Up to 50 days between 1/1/21 - 3/31/21
Up to 60 days between 4/1/21 - 9/30/21
4
Were you unable to work because you were taking care of others?* This field is required.How many days of work were missed because you were caring for an individual who was subject to a federal, state, or local quarantine or isolation order related to COVID-19. You were caring for an individual who was advised by a health care provider to self-quarantine due to concerns related to COVID-19You were accompanying an individual to obtain immunization related to COVID-19You were caring for an individual who was recovering from any injury, disability, illness, or condition related to the immunization
Up to 10 days between 1/1/21 - 3/31/21
Up to 10 days between 4/1/21 - 9/30/21
5
Please provide your net earnings (after your expenses) for each of the below years, listed on line 31 of your Schedule C.* This field is required.These numbers will need to be verified before you receive the refund.
2019 Business profit claimed on tax return (line 31 on schedule C)
2020 Business profit claimed on tax return (line 31 on schedule C)
2021 Business profit claimed on tax return (line 31 on schedule C)
6
Name* This field is required.
First Name
Last Name
7
Email* This field is required.This is where your results will be sent.
example@example.com
8
Phone Number* This field is required.
Area Code
Phone Number
Should be Empty: