Covid-19 Help Request Form (Business or Individual)

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IABA- Indian American Business Association & Chamber knows that COVID-19 is a challenge for our local businesses and the whole community, and we care about the continued success of our local businesses. To better serve you and offer you assistance, we've developed a help request form.

Your personal & business information will be confidential and will not be shared.

https://IABAusa.com Call Yogesh Bharucha (IABA): 321-271-1217 * Conditions apply

Email *

First & Last Name *

Business Name *

Address (Street, City, State, Zip) *

County (Example: Orange/Seminole/Osceola/Etc.) *

Cell phone (Example:1234567890) *

Business Sector *

Has your business or job been impacted by COVID-19 (Novel Corona Virus)? *

Yes

Maybe

If yes, how has your business or job been impacted?

How can we help you? (select all that apply) *

Paycheck Protection Plan (PPP)- Guidance & filling

Economic Injury Disaster Loan (EIDL) Emergency Advance by SBA- Guidance & filling

Business Loan *

Individual Assistance *

Looking for job- Guidance & resources

Other:

Required

What resources would be most needed to assist your business during this time?

Thanks from....

Submit

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