Essential Business Determination

IMPORTANT NOTE:

This form is for businesses seeking an evaluation of their status as either essential or non-essential as it relates to Public Health Order 2020-03.

This form is NOT intended to collect reports of businesses violating the public health order. If you wish to report a business you believe is in violation, please call 573-874-CITY (2489) or email [email protected]

If you are not a business seeking an evaluation, please DO NOT use this form.

(*) asterisk indicates a required field

Legal Business Name*

Columbia Missouri Business Address

Street Number*

Street Name*

City*

State*

Zip*

Contact Information

Name*

Phone Number*

Email Address*

Business & Services Information

Please answer questions #1 and #2 below if applicable and if not answer question #3.

While answering the following questions please review the Health Department Order.

Describe the services your business provides and why they are essential, based upon the health order.

If you produce a component, material, supply or provide essential service(s) for essential businesses, identify those essential businesses.

Specifically describe the products, components, materials, supplies or essential service(s) you provide for essential businesses.

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Essential Business Determination

IMPORTANT NOTE:

Columbia Missouri Business Address

Contact Information

Business & Services Information

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