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2021 Renewal Application for Monroe County Emergency Management Hurricane Placard Business Reentry Program

  1. Application Instructions

    • You do not need to sign in to fill out this form.
    • A copy of your current Monroe County Business License must be uploaded with your application.
    • All questions must be answered in full for form submission.
    • Applications that do not provide complete information will be denied.
    • If a question does not apply to your business/organization, use NA as a response.
    • Applications that provide false/misleading information will be denied and may be banned from future consideration in the Placard Program.

  2. If more than one location, provide administrative address in Monroe County

  3. Should be individual completing this application

  4. The intention of the Placard Program is to facilitate the speedy reentry of all Monroe County residents through the efficient restoration of essential services (water, emergency medical services and passable roadways). The effective reentry of those businesses/organizations necessary to aid in this effort is mission essential. Please answer the following questions Yes or No:

  5. Type in your name as authorized agent.

  6. Please upload a copy of your current business tax receipt.

  7. Leave This Blank:

  8. This field is not part of the form submission.