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Business Affirmation

Use this form to affirm business compliance with the New York Forward reopening guidance.
1. What industry does your company belong to? *This question is required.
3. Your Name *This question is required.
This question requires a valid email address.
6. Business Location Address

Enter the address of your physical place of business in New York State or, if a construction project, the primary address of the construction site.

I am the owner or agent of the business listed. I have reviewed the New York State interim guidance for business re-opening activities and operations during the COVID-19 public health emergency and I affirm that I have read and understand my obligation to operate in accordance with such guidance.