Question Title

* 1. Governor Bullock's 5/19/20 Directive states that gatherings of over 50 people may occur with adequate and maintained social distancing beginning June 1st. As stated in the directive, "If you are planning an event with more than 50 people you should consult with your local public health office on a plan to implement adequate social distancing." Please submit your plan for your gathering using the form below. A health department employee will contact you within 5-7 business days. *

Question Title

* 2. All fields need to be completed in order to submit this form.

Question Title

* 3. Contact Information

Question Title

* 5. Name of Event

Question Title

* 6. Date of Event

Date
Time

Question Title

* 7. Brief description of event

Question Title

* 8. Location of Event

Question Title

* 9. Expected Number of Attendees

Question Title

* 10. Are attendees required to have a ticket to enter the event?

Question Title

* 11. Seating: what is your plan to allow for social distancing between attendees?

Question Title

* 12. Entry and Exit: What is your plan for allowing social distancing in ingress and egress areas?

Question Title

* 13. Will your event be provding food and beverage services?

Question Title

* 14. Are you or will you be using a licensed food establishment?

Question Title

* 15. Is this a private event?

Question Title

* 16. Do you fall under the category of a non-profit operating less than 4 times per year?

Question Title

* 18. If your event will have food or drink, use the space below to provide a plan to provide social distancing while providing these services. Please note that Governor Bullock’s directive currently prohibits self-serve buffets and bar services. • If you are a licensed retail food establishment, continue to follow state and local regulation in addition to your social distancing plan. • If your event will have food or drink and the following do NOT apply: 1. Your event is a private event (examples: wedding, funeral or private party where members of the public are not allowed) or 2. You are a currently licensed as a food establishment. You may be required to obtain a temporary event food permit. Contact the Environmental Health Department at 271-4020 for permitting requirements.

Question Title

* 19. If your event is private or for a non-profit organization which will hold less than 4 events per year, please provide a plan for these services to include the following: (Food(s) to be served, handwashing set-up, illness plan for food workers, social distancing plan for lines/service area, utensil types.)

Question Title

* 20. Restrooms: What is your plan to avoid restroom congestion? Please describe your plan to prevent crowding in these areas and your cleaning process. 

Question Title

* 21. Cleaning: Please describe your plan for cleaning of the facility. (Consider the following: who is cleaning, how often is cleaning occurring, how are you ensuring that the cleaning occurs?) *

Question Title

* 22. Hand Hygiene: Please check all of the following places you plan to offer hand washing or hand sanitizer for attendees.

Question Title

* 23. Masking: On 7/15/20 Governor Bullock issued a directive for the mandatory use of face coverings in public spaces. The directive can be found here: https://covid19.mt.gov/Portals/223/Documents/Mask%20Directive%20FINAL.pdf?ver=2020-07-15-140109-633
Please provide information on how you plan to ensure this directive is met during your event. *

Question Title

* 24. Any additional details you would like us to know about.

Question Title

* 25. If attaching additional files to your plan submission.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
0 of 25 answered
 

T