Essential Business Exemption Application
Please complete the application below to request that your business be considered an "Essential Business" under the Stay Home-Work Safe Order by Harris County Judge Lina Hidalgo. The text and an attachment of the Order are available online at ReadyHarris.org/StayHome.

All decisions will be communicated by email.
Sign in to Google to save your progress. Learn more
Email *
Business Name *
Business or Company Name
Business ID *
Business or Company Name
Business Information *
Please provide a short description of your business. Include description of services, employees, clients, etc.
Address *
Is this business located in Harris County? *
Required
Contact Person Name *
First and Last name
Contact Person Email Address *
Contact Person Phone Number *
Business Category *
Details for potentially classifying your business as an Essential Business
Please explain why your business should be considered an Essential Business per Order by the Harris County Judge. Please provide details on how your business plans to meet federal, state, and local guidelines to maintain safety during the COVID-19 pandemic.
Number of employees working at the location to perform critical work *
If you are seeking an exemption for multiple locations, please provide the following details for each location: *
1) Address of each location; 2) Number of employees working at the location to perform critical work; 3) Nature of business at this location; 3) Whether social distancing can occur at the location for all employees
Will members of the public will be coming to any of your locations? If yes, which location, and how many people are expected at any one time? Can social distancing be used for each member of the public who comes to the location? *
By sending this request, I certify under penalty of false statement, [relevant statute], that the information that I have provided herein is true and accurate. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of HARRIS COUNTY. Report Abuse