City of Osawatomie - COVID-19 Impact Survey, Phase I
The City of Osawatomie is seeking information from local businesses about how their operations were/continue to be impacted by the global COVID-19 pandemic. Information collected during this survey will be used to determine which local businesses may qualify for relief funds through the CARES Act and the CDBG-CV Program.
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Email *
Name of Business: *
Name of Owner: *
Address: *
Phone Number: *
Do you own/operate a small business located in Osawatomie, Kansas? *
How many employees do you have (including ownership roles)? *
Did any national, state, or local order due to the pandemic cause significant disruption to your business operation? *
Were you forced to close at any point since March 1st, 2020? *
Have you laid off or furloughed any employees since March 1st, 2020? *
Do you identify as a non-profit clinic or hospital? *
If 'Yes,' did you purchase PPE that was NOT covered by your insurance? *
Do you operate a meal program for the community as a whole (food bank, etc.), or for a specific population within the community (Meals on Wheels, etc.)? *
If 'Yes,' did you incur damages or losses that aren't covered by your insurance? *
Are you interested in receiving grants for losses incurred as a result of COVID-19? *
Are you willing to allow the City of Osawatomie to submit grant applications on behalf of your company? *
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