The Small Business Administration (SBA) has two loan programs which may assist victims of disasters. These are the Physical Disaster Loan Program, which basically requires that 25 residences and/or businesses suffer uninsured loss in excess of 40%; and the Economic Injury Disaster Loan (EIDL) program, which can be requested if 5 or more businesses suffer economic harm from the event, even if they’re physically undamaged. (The latter program is not very well known).
I’m attaching a short survey form for use in supporting an EIDL request. If you believe your businesses in Yakima County was affected by the January 16-23 weather event, please report the impact. ###
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ESTIMATED DISASTER ECONOMIC INJURY WORKSHEET FOR BUSINESSAccurate responses to the questions below will assist in evaluating a request for a declaration of
disaster.(Please complete and email to : oem@co.yakima.wa.us or post by standard mail to :Y.V.O.E.M ,128 N. 2nd street, suite 110 Yakima, WA 98901)
1. Name of Business Owner:
Name of Property Owner:
Business/Property Address:
Mailing Address:
Telephone Numbers: Business: ( )________ Home: ( )____________
2. Estimated Adverse Economic Impact:
What period of time was your business affected by the disaster? to
MO/YR MO/YR
Estimate approximate dollar amount of gross sales/receipts for:
Disaster Period $
Corresponding Period Previous Year $
3. Business interruption insurance received or anticipated: $
4. Brief explanation of what adverse economic effects the disaster had on your business:
5. How many persons did you employ prior to the disaster?
How many persons did you employ after the disaster?
If your business also suffered a physical loss, answer the following questions:
6. Estimated dollar loss to:
Real Property (building), if owned: $
Personal property (machinery and equipment,
Furniture and fixtures, inventory, leasehold improvements, etc): $
7. Insurance recovery received or anticipated for physical damage: $
Signature of Business Owner/Representative Date_____________________________
