Families First Coronavirus Response Act

For the following question:

Enter the number of days in the period from April 1, 2020, and March 31, 2021, that you were unable to perform services as an eligible self-employed individual because of one or more of the following reasons:

• You were subject to a federal, state, or local quarantine or isolation order related to COVID-19.
• You were advised by a healthcare provider to self-quarantine due to concerns related to COVID-19.
• You were experiencing symptoms of COVID-19 and seeking a medical diagnosis.

For the following question:

Enter the number of days in the period from April 1, 2020, and March 31, 2021, that you were unable to perform services as an eligible self-employed individual because of one or more of the following reasons:

• You were caring for an individual who was subject to a federal, state, or local quarantine or isolation order related to COVID-19.
• You were caring for an individual who was advised by a health care provider to self-quarantine due to concerns related to COvid-19.
• You were caring for a son or daughter because the school or place of care for that child was closed or the childcare provider fo that child was unavailable due to COVID-19 precautions.

For the following question:
Enter the number of days in the period from April 1, 2020, to March 31, 2021, that you were unable to perform services as an eligible self-employed individual because of one or more of the following reasons:

• You were subject to a federal, state, or local quarantine or isolation order related to COVID-19.
• You were advised by a healthcare provider to self-quarantine due to concerns related to COVID-19.
• You were experiencing symptoms of COVID-19 and seeking a medical diagnosis.

For the following question:
Enter the number of days in the period from April 1, 2021, and September 30, 2021, that you were unable to perform services as an eligible self-employed individual because of one or more of the following reasons:

• You were caring for an individual who was subject to a federal, state, or local quarantine or isolation order related to COVID-19
• You were caring for an individual who was advised by a healthcare provider to self-quarantine due to concerns related to COVID-19.

• You were caring for a son or daughter because the school or place of care for that child was closed or the childcare provider for that child was unavailable due to COVID-19 precautions.

For the following question:
Enter the number of days in the period from April 1, 2021, through September 30, 2021, that you were unable to perform services as an eligible self-employed individual because of one or more of the following reasons:

• You were subject to a federal, state, or local quarantine or isolation order related to COVID-19.
• You were advised by a healthcare provider to self-quarantine due to concerns related to COVID-19.
• You were experiencing symptoms of COVID-19 and seeking a medical diagnosis.
• You were seeking or awaiting the results of a diagnostic test for, or a medical diagnosis of, COVID-19.
• You were exposed to COVID-19 or were unable to work pending the results of a test or diagnosis.
• You were obtaining immunization related to COVID-19.
• You were recovering from any injury, disability, illness, or condition related to such immunization.

Please upload your 2019, 2020, and 2021 tax returns using the secure link below.