Business Attestation Form

GET CERTIFIED TO REOPEN:

Review your industry guidelines
Prepare your business and complete the checklist
Submit the Inyo County Business Attestation form below
Visibly post your completed checklist within your business

Business Address

First name

Last name

Street address

City

State

Zip code

Business Sector

Check to Confirm Attestation

1. I attest that I have implemented the State of California COVID-19 Industry Guidance in my business and filled out the COVID-19 General Checklist for my industry, if applicable.

2. If my industry is not listed, I have filled out the “Limited Services” Checklist and have fulfilled all of the requirements listed in that checklist, if applicable.

3. I need technical assistance to fill out the checklist applicable to my industry. If you check this box, a member of Inyo County staff will call you at the number listed above.

Inyo County COVID-19 Response

Inyo County California

COVID-19

GET CERTIFIED TO REOPEN: