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* 1. Please select your business type

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* 2. Is your business considered an "Essential Business" per Harris County's Stay Home, Work Safe Order?

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* 3. Is your business operational at this time?

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* 4. If you answered "No" to the prior question, please identify when your business closed.

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* 5. How many employees do you currently have working in Seabrook?

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* 6. Have you had to reduce the number of employees?

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* 7. If you answered 'Yes" to the prior question, please identify how many employees have been laid off. 

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* 8. Do you have employees working remotely?

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* 9. Is your business able to receive delivery supplies?

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* 10. Is your business able to provide online purchase/delivery to customers?

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* 11. Have you enlisted in outside resources such as the SBA or Texas Workforce Commission to help maintain your business and/or employees?

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* 12. Contact Information

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* 13. Sign me up for SEDC Updates regarding business assistance resources related to COVID-19 impacts. 

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