R&D Tax Credits Estimate Intake form

Company Name
Name Position/Title
Country Zip Code
Email Telephone
Website Fax

Check all that apply. Write in others as applicable:

PrototypingAgricultureITModellingAerospaceManufacturingTechnologyCommunicationWarehousingMachineryStructuresOil/GasProcessesOpticsPower GenerationDigesterSurfacesChemicalsDesignMaterialsLogisticsSoftwareAutomotiveEngineeringCAD/CAMMarineFood ProcessingTooling/JigsHorticultureEnergyNew or improved productsNew or improved processesNew or improved services

Description of your business

R&D Projects Years ,Processes, Plans

Check all that apply. Write in others as applicable.

Do you build Models/Prototypes? Yes No
Do you carry out testing, analysis and research? Yes No
Conduct testing on new concepts and technology? Yes No
Develop new technology? Yes No
Do you write and/or adapt software? Yes No
How long have you been investing in R&D projects?
What is your average annual R&D expense?
When you begin a R&D project are you unsure of the result? yes No
If Yes above explain:

Other Inputs:

Do you have engineers, researchers, or developers on staff? Yes No
Do your employees track time invested on each project? Yes No
Do you use subcontractors? Yes No
Do you use Consultants? Yes No
Do you use Test Facilities? Yes No
Have you applied for other grants, subsidies or tax credits before? Yes Yes
Do you hold or have you applied for patents/IP? Yes No
  Yes No
  Yes No
  Yes No
  Yes No

Additional Information/questions.