Thank you for protecting the health and safety of your workers and customers and being committed to our united fight against COVID-19. By submitting
this form, you are certifying that your business is complying with all health and safety standards. After completing this process, your business will be
added to the public listing of self-certified businesses, and you will receive branded material by mail to display at your business.
Before you fill out the information below, you must read and review the following health and safety guidelines: