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  • Thank you for visiting the Permitted Businesses Application Form

     

    ATTENTION: PLEASE ONLY SUBMIT THIS FORM ONCE. 
    This form is online in support of implementing the Emergency Powers (COVID-19 Shelter In Place) Regulations 2020.

    YOU DO NOT NEED TO COMPLETE THIS FORM IF YOUR BUSINESS IS ONE OF THE FOLLOWING:

    • retail grocery store
    • pharmacy
    • bank
    • gas station
    • office of a registered medical or dental practitioner
    • hospital or other medical facility (including a veterinary surgery)
    • any of the essential services
     
    YOU CAN COMPLETE THIS FORM IF YOU WISH TO OPERATE THE FOLLOWING BUSINESSES:











  • Business contact information

  • Phone Number
  • - -
  • Business Information

    Address
  • Contact information
  • Phone Number
  • Staffing information
  • Operating days and hours
  • Description of business operations during the Shelter in Place period
  •  

    Description of the business operations during the Shelter In Place (explain the process in place, Online orders, Phone in and place orders, Curbside pick-up, by Appointment only, etc.)

  • Declaration

    I agree that the information provided in this document is true and correct to the best of my knowledge and understand that any dishonest answers may have serious public health implications.