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COVID-19 (Coronavirus) - Business Support Form
BUSINESS DETAILS
Registered Name
*
Postcode:
Building Name:
Secondary Name:
Street:
District:
Town:
County:
Forename
*
Surname
*
Email
*
Telephone
Sector
-- No Selection --
Manufacturing
Construction
Digital, Creative and Technology
Health & Life Sciences
Maritime & Logistics
Professional & Business Services
Retail
Tourism & Hospitality
Other
Employer Size Band
-- No Selection --
Sole Trader
Micro 2-10
Small 11-50
Medium 51-250
Large 251+
SUPPORT
Business Support that would be helpful at this time
General Advice & Guidance
COVID-19 Corporate Financing Facility (CCFF)
Coronavirus Business Interruption Loan Scheme (CBIL)
Income Tax/VAT Referral
Business Rates Holiday (RETAIL, HOSPITALITY & LEISURE)
Deferral of Self-Assessment Payment
Business Rates Holiday (NURSERIES)
Self-Employment Income Support Scheme
Coronavirus Job Retention Scheme
Remote Working
Small Business Grant Funding
Training/Digital Skills
Statutory Sick Pay Rebate Scheme
Bounce Back Loans
Time To Pay (HMRC)
Local Authority Discretionary Grants
Comments
IMPACT
Have you moved to a 'Business Closure'?
-- No Selection --
No Closure
Temporary Closure
Indefinite Closure
Home Working
Impact on current sales or bookings?
-- No Selection --
No Impact
Negative Impact
Positive Impact
Impact on future sales or bookings?
-- No Selection --
No Further Impact
Negative Impact
Positive Impact
Unknown
No. of Employees prior to the pandemic:
Full-Time
Part-Time
Current Impact on Employees
Predicted in 3 Months
Not Impacted:
-- No Selection --
No Change
Increase
Decrease
Working from Home:
-- No Selection --
No Change
Increase
Decrease
Furloughed:
-- No Selection --
No Change
Increase
Decrease
Job Loss:
-- No Selection --
No Change
Increase
Decrease
Job Gain:
-- No Selection --
No Change
Increase
Decrease
By submitting this form, you are agreeing that the South East Business Hub (SEBH) may share the data provided in this questionnaire with the Departments for Business, Energy and Industrial Strategy (BEIS), the South East Local Enterprise Partnership (SELEP) and local authorities within the SELEP area in order to provide further direct support to your business, inform future funding and contribute to market data research in order to inform future policy related to the outbreak of COVID-19. For further information please refer to our Privacy Policy by clicking
here
.