Business Loss Data Collection
While the details of any potential small business disaster relief related to COVID-19 are still unknown, we have created these forms to collect data that may be needed. Please complete these weekly reports, so the City of Roanoke can determine the extent of business impacts and assist you with obtaining any relief that may be available. This data will be held as confidential proprietary records provided by a business and shall be maintained as confidential by the City of Roanoke and are not subject to disclosure under the Virginia Freedom of Information Act, Code of Virginia §2.2-3705.6(a)(3).

If you need assistance, do not hesitate to contact the Dept. of Economic Development - Lisa Soltis at  lisa.soltis@roanokeva.gov or by telephone at 540-853-1694, or Sean Adkins at sean.adkins@roanokeva.gov or by telephone at 540-853-5405. We are happy to enter data for you over the phone or via email.

Please use the forms below.
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WEEK 13 REPORT -                                                    
MONDAY, MARCH 23, 2020 until (and including) SUNDAY, MARCH 29, 2020
BUSINESS INFORMATION
NAME OF BUSINESS
PHYSICAL ADDRESS OF BUSINESS
CONTACT NAME & EMAIL ADDRESS
CONTACT TELEPHONE NUMBER
EMPLOYMENT, 2020 VS. 2019
MARCH 29, 2020 (END OF WEEK 13 OF YEAR 2020)
# FULL TIME
# PART TIME
OTHER (DESCRIBE)
MARCH 31, 2019 (END OF WEEK 13 OF YEAR 2019)
#FULL TIME
#PART TIME
OTHER (DESCRIBE)
TOTAL SALES, 2020 VS. 2019
WEEK 13 OF YEAR 2020 - MARCH 23 UNTIL (AND INCLUDING) SUNDAY, MARCH 29, 2020
WEEK 13 OF YEAR 2019 - MARCH 25 UNTIL (AND INCLUDING) SUNDAY, MARCH 31, 2019
TOTAL MEALS SALES, 2020 VS. 2019
WEEK 13 OF YEAR 2020 - MARCH 23 UNTIL (AND INCLUDING) SUNDAY, MARCH 29, 2020
WEEK 13 OF YEAR 2019 - MARCH 25 UNTIL (AND INCLUDING) SUNDAY, MARCH 31, 2019
TOTAL ROOM SALES, 2020 VS. 2019
WEEK 13 OF YEAR 2020 - MARCH 23 UNTIL (AND INCLUDING) SUNDAY, MARCH 29, 2020
WEEK 13 OF YEAR 2019 - MARCH 25 UNTIL (AND INCLUDING) SUNDAY, MARCH 31, 2019
TOTAL RETAIL SALES
WEEK 13 OF YEAR 2020 - MARCH 23 UNTIL (AND INCLUDING) SUNDAY, MARCH 29, 2020
WEEK 13 OF YEAR 2019 - MARCH 25 UNTIL (AND INCLUDING) SUNDAY, MARCH 31, 2019
EVENTS AND MEETING CANCELLATIONS
DURING THIS TIME (MARCH 23 - 29, 2020), DID YOUR BUSINESS HAVE TO CANCEL EVENTS OR MEETINGS?
Clear selection
MEETING # 1 - NAME OF EVENT/MEETING
DATE OF EVENT/MEETING
MM
/
DD
/
YYYY
NUMBER OF GUESTS EXPECTED
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MEETING #2 - NAME OF EVENT/MEETING
DATE OF EVENT/MEETING
MM
/
DD
/
YYYY
NUMBER OF GUEST EXPECTED
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MEETING #3 - NAME OF EVENT/MEETING
DATE OF EVENT/MEETING
MM
/
DD
/
YYYY
NUMBER OF GUESTS EXPECTED
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
CONFERENCE CANCELLATIONS
DURING THIS TIME (MARCH 23 - 29, 2020), DID YOUR BUSINESS HAVE TO CANCEL A CONFERENCE?
Clear selection
NAME OF CONFERENCE
DATE OF CONFERENCE
MM
/
DD
/
YYYY
NUMBER OF REGISTERED ATTENDEES
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
NAME OF CONFERENCE
DATE OF CONFERENCE
MM
/
DD
/
YYYY
NUMBER OF REGISTERED ATTENDEES
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
NAME OF CONFERENCE
DATE OF CONFERENCE
MM
/
DD
/
YYYY
NUMBER OF REGISTERED ATTENDEES
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
NAME OF CONFERENCE
DATE OF CONFERENCE
MM
/
DD
/
YYYY
NUMBER OF REGISTERED ATTENDEES
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
IF YOU HAD ADDITIONAL CONFERENCE CANCELLATIONS, PLEASE LIST THEM:
RESTAURANT RESERVATION CANCELLATIONS - WEEK OF MARCH 23 - 29, 2020
DURING THIS TIME (MARCH 23 - 29, 2020), DID YOUR BUSINESS HAVE TO CANCEL RESTAURANT RESERVATIONS?
Clear selection
MARCH 23, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 24, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 25, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 26, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 27, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 28, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 29, 2020
NUMBER OF RESERVATIONS CANCELLED
NUMBER OF GUESTS
HOTEL RESERVATION CANCELLATIONS - WEEK OF MARCH 23 - 29, 2020
DURING THIS TIME (MARCH 23 - 29, 2020), DID YOUR BUSINESS HAVE HOTEL RESERVATION CANCELLATIONS?
Clear selection
MARCH 23, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 24, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 25, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 26, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 27, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 28, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
MARCH 29, 2020
NUMBER OF ROOM RESERVATIONS CANCELLED
NUMBER OF GUESTS
PRE-TAX VALUE OF CANCELLATION ($ OF SALES LOST)
OTHER INFORMATION - DURING THIS TIME, IF YOU HAD ADDITIONAL CANCELLATIONS OR LOSSES, PLEASE DESCRIBE THEM BELOW.
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