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Verification Form – Small Business Assistance

This page is for Bet Tzedek volunteers verifying potential small business client information and conducting in-depth interviews to determine if those clients are eligible for pro bono services. Please consult your volunteer manual for tips on how to use this form and email covidsmallbiz@bettzedek.org with any questions.

 

  • Eligibility Requirements

    Business owners whose current household income is less than $8,500 per month AND who have less than $50,000 in liquid assets (cash, bonds, etc.). If you are not sure if you qualify for free services, please submit your information anyway. We will contact you and work with you to help you access the resources you need.
  • PART I - PERSONAL INFORMATION

  • PART II - BUSINESS INFORMATION

  • PART III - PRIOR LEGAL REPRESENTATION

  • Have you already consulted another attorney or legal organization for legal assistance? If so, please provide:

  • PART IV – CURRENT COVID-19 LEGAL ISSUE

  • Max. file size: 32 MB.
  • Please list all other people, organizations, or companies that may be involved in your legal matter(s). For example, if you need help with a commercial lease, please provide the name of the landlord.
  • PART V – INFORMATION CONCERNING ELIGIBILITY FOR PRO BONO LEGAL ASSISTANCE

  • PART VI – REFERRAL INFORMATION

  • PROBLEMS WITH A CONTRACT

  • PROBLEMS WITH MY BUSINESS LEASE

  • COVID RELIEF PROGRAMS

  • One or more of the following: The Paycheck Protection Program (PPP); Economic Injury Disaster Loans (EIDL) & Emergency Economic Injury Grants.
  • QUESTIONS ABOUT MY EMPLOYEES' SAFETY, WAGES, PAID LEAVE AND BENEFITS

  • QUESTIONS ABOUT MY BUSINESS STRUCTURE AND POSSIBLE ALTERNATIVES

  • QUESTIONS ABOUT HOW NEW COVID REGULATIONS APPLY TO MY BUSINESS

  • INSURANCE COVERAGE

  • BANKRUPTCY

  • BEFORE SUBMISSION

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