Form

Amount: Claim credits up to $5,000 per employee during 2020 and up to $7,000 per employee per quarter during 2021.

When: Receive a refund from the IRS after submitting a claim.

How do I claim the credit? Report qualified wages on your federal employment tax returns, usually Form 941.

First Name*

Last Name*

Job Title*

Email*

Phone Number

Company Name*

Street address*

City*

State*

Zip Code*

Business Entity Type*

Number of Employees*

Annual Gross Revenue*

Industry*

Did a government order result in the company partially or fully suspending its business operations by limiting commerce, travel, group meetings or supply chain disruptions due to COVID-19?*

Yes

Has the company's revenue dropped significantly (defined as more than 50% in any quarter in 2020 when compared to revenue for the same calendar quarter in 2019 or more than 20% in any quarter of 2021 when compared to revenue for the same calendar quarter in 2019)?*

Yes

Did the company (1) begin carrying on a trade or business after February 15, 2020 and (2) have annualized gross receipts for the 2020 tax year that did not exceed $1,000,000 on an annualized basis?*

Yes

Are you an Aprio Client?*

Yes