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Statement of Economic Impact due to COVID-19

  1. Answers to the following questions will be used to help gauge the economic impact of the COVID-19 outbreak on the City of Abbeville. Participation in filling out this form is completely voluntary and not required. Please note that the information may be shared with state and federal agencies.
  2. Has the COVID-19 outbreak:
  3. Forced your business to reduce hours?*
  4. 2. Forced you to cut hours for employees? *
  5. Resulted in your business laying off employees? *
  6. Resulted in decreased sales? *
  7. Resulted in your business missing utility payments or other bills? *
  8. Agreement
    By signing below, I understand that the information provided in this form may be shared with other agencies besides the City of Abbeville who are working to develop responses to the COVID-19 outbreak which would alleviate some of the strain on small businesses. I also understand that filling out this form is voluntary and does not guarantee my business relief or aid from the federal, state, or local level.
  9. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. Leave This Blank:

  11. This field is not part of the form submission.