COVID-19 Outreach Response Form

This is for staff to submit the responses they receive from members on their outreach list.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

(Or the person you spoke with)

(Who contacted the business?)

(What makes this an essential business?)

(Are any employees operating remotely or working from home?)

(Are some/all working remotely, some/all working on-site, none working?)

Have they been participating in webinars or virtual gatherings to gain insight?

(List anything they indicated their business needs to survive the crisis)

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