JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Covid 19 Economic Impact Form
Please let us know how the current changes and restrictions are impacting your business. Answers will be forwarded directly to the Oregon Governor's office.
Sign in to Google
to save your progress.
Learn more
Business Name
Your answer
Date of form submission
MM
/
DD
/
YYYY
How is your company being affected?
Your answer
What is the estimated dollar value of the economic impact to your business as of today?
Your answer
How Many employees are affected Full time / Part Time?
Your answer
Your name and business role?
Your answer
Contact e-mail
Your answer
Contact phone
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
