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* 1. Please indicate what type of payments your organization accepts:

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* 2. For all homes you operate what is the maximum number of beds you currently have (maximum capacity under normal circumstances, if all were filled)?

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* 3. What percent of your beds are currently occupied?

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* 4. Has the COVID-19 virus reduced your capacity?

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* 5. Do you expect the COVID-19 virus reduced your capacity?

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* 6. Please estimate, in dollars, what losses your organization stands to incur if the emergency, shelter in place, order stays in effect for 90 days:

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* 7. How many of your residents have been laid off or furloughed due to COVID-19 shelter in place requirements?

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* 8. Of the residents who have been laid off or furloughed due to COVID-19 shelter in place requirements, what percentage of them do you believe will be eligible for unemployment benefits?

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* 9. Have you encouraged all residents who worked any hours in 2018 or 2019 to file their 2018 or 2019 tax returns to allow them to receive stimulus funds? 

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* 10. If you have purchased additional cleaning supplies, personal protective devices, or purchased extra food supplies, please indicate how much you have spent on these items in the last 30 days (only include extra food, not normal purchases):

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* 11. Should a client test positive for COVID-19, do you presently have personal protective devices (masks, gloves, sanitizer) to protect residents from spreading the disease?

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* 12. If a resident is unable to pay a bed fee due to temporary unemployment, what course of action will be taken?

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* 13. CCAPP is developing a proposal to replace lost bed fees for individuals who do not qualify for unemployment or stimulus funds. If this were to be approved by the Governor, could your residents show proof (a letter declaring no employment for 2018 and 2019 and/or a rejection for unemployment benefits)?

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* 14. CCAPP is working around the clock to address the needs of our  recovery residence operators and the residents you serve. Are there any needs you wish to communicate to us so that we can put them before the appropriate state government officials:

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