Inquiry Form for Business Owners | HealthUnit Haldimand-Norfolk

If you have questions about your business operations during the emergency period, we are providing this form to assist you and the Haldimand-Norfolk Health Unit (“Health Unit”) with those inquiries.

Neither the Health Unit, Norfolk County, nor Haldimand County is able to provide legal advice to business owners regarding whether they can operate under the provincial rules. If you are unsure if your business can operate at this time please seek legal advice. Please read the following before completing or submitting this form. We will review your information and respond within 48 hours of receiving your submission.

You have no obligation to provide the following information to the Haldimand-Norfolk Health Unit, Norfolk County or Haldimand County and you are freely and willingly doing so.
The Haldimand-Norfolk Health Unit, Norfolk County, and Haldimand County cannot provide legal advice about what businesses can operate according to Provincial rules for businesses during the Emergency Period.
You should obtain your own legal advice regarding whether your business can operate at this time.
Regarding potential enforcement activity, it is the practice of the Health Unit’s enforcement team to investigate concerns and review the matter with the owner, providing a warning with compliance advice, if appropriate, as a first enforcement measure.
The Haldimand-Norfolk Health Unit, Norfolk County, and Haldimand County cannot provide information or recommendations on future changes to the Provincial regulations for businesses during the Emergency Period, nor do they have a timeline of when regulations will change.
To see current Provincial regulations for businesses please follow this link: https://www.ontario.ca/page/emergency-information

Business Name*

Business Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Email*

Hours of Operation*

Please describe what services or products your business offers*

Where are these services or products provided*

Office
Client's home
Retail location
Other

Please specify below*

How are these services or products provided to the customer or client*

Online
By appointment
Walk-in
Other

Please specify below*

If applicable, can physical distancing requirements of being 2 metres apart for other people be maintained while providing these services or products*

Yes
No

If the physical distancing requirement cannot be maintained, please provide information on the interactions and what safety precautions can be taken*

On what basis do you believe you may operate?*

If your business is permitted to be open to the public or for employees, what questions surrounding sanitization processes, physical distancing or other public health related concerns do you have?

If you have questions about your business operations during the emergency period, please complete and submit the Inquiry Form for Business Owners to assist you and the Haldimand-Norfolk Health Unit (Health Unit) with those inquiries.

Neither the Health Unit, Norfolk County, nor Haldimand County is able to provide legal advice to business owners regarding whether they can operate under the provincial rules. If you are unsure if your business can operate at this time please seek legal advice. Please read the following before completing or submitting this form. We will review your information and respond within 48 hours of receiving your submission. If you require a word version of this form please contact the Haldimand Norfolk Health Unit at 519-428-8019 and one will be emailed out to you.