PPP Loan - Consolidated Personnel Services

Submitter's Name*

First Last

Email*

Client's Name*

Loan Disbursement Date*

Payroll Frequency*

Loan Covered Period: 8 or 24 Weeks?*

8 Weeks
24 Weeks

Is your loan amount $150,000 or less*

Yes
No

First Pay period start date (after loan disbursement)

Leave blank if you are not sure

Covered Period

Answer These 3 Questions

1. Did you reduce the annual salary or hourly wages of any employee by more than 25% during the dates covered by the loan when compared to dates between January 1, 2020 and March 31, 2020?*

Yes
No
I am not sure

2. Did you reduce the average number of employees or the average hours paid between January 1, 2020 and the loan covered period or the date the application will be submitted?*

Yes
No
I am not sure

3. Were you unable to operate during the covered period at the same level of business activity as before February 15th, 2020 due to compliance with requirements established or guidance issued between March 1, 2020 and December 31, 2020*

Yes
No
I am not sure

Additional information or questions

CAPTCHA

Covered Period: 8 or 24 weeks*

8 Weeks
24 Weeks

3. Were you unable to operate during the covered period at the same level of business activity as before February 15th, 2020 due to compliance with requirements established or guidance issued between March 1, 2020 and December 31, 2020*

Yes
No
I am not sure

2. Did you reduce the average number of employees or the average hours paid during the loan covered period or the date the application will be submitted?*

Yes
No
I am not Sure

1. Did you reduce the annual salary or hourly wages of any employee by more than 25% during the dates covered by the loan when compared to dates between January 1, 2020 and March 31, 2020?*

Yes
No
I am not sure

PPP Loan Forgiveness Questionnaire

Once you complete this form:

Answer These 3 Questions

Office Hours: