COVID-19 Small Business Intake Form

Solano County Small Businesses

Please fill out this form and let us know how we can help!
Full Name *

First Name Last Name
What is the name of your business?
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail
Due to COVID-19, is your business commencing with layoffs?

Yes Maybe No
Due to COVID-19, does your business need financial help?

Yes Maybe No
We can provide a quick reference sheet on how to apply for unemployment; would that be helpful to you and your staff?

Yes Maybe No
Please provide more details if needed:
Should be Empty:

Solano County Small Businesses