Required fields are marked with asterisks (*)

Personal Service Setting Special Event Organizer Application Form

Special events in the City of Ottawa that offer personal services on-site must comply with all applicable sections of the Health Protection and Promotion Act, Ontario Regulation 136/18: Personal Service Settings.

Special events include conventions, expos, shows, and fairs.

You must notify Ottawa Public Health (OPH) by completing and submitting the Organizer Application Form a minimum of 14 days prior to the event.

Organizer Information

Organizer First Name:

Organizer Last Name:

Organizer Primary Phone Number:

Organizer Cell Phone Number:

Organizer Email Address:

Alternate Contact

Alternate Contact First Name:

Alternate Contact Last Name:

Alternate Contact Primary Phone Number:

Alternate Contact Cell Phone Number:

Alternate Contact Email Address:

Event Information

Event Street Address:

City:

Postal Code:

Start Date of Event (yyyy/mm/dd):

End Date of Event (yyyy/mm/dd):

Expected number of attendees:

99 or fewer

100 - 499

Greater than 500

Vendor Information

Number of Personal Service Vendors at the event:

Vendor Set up:

Indoor

Outdoor

Types of services that will be offered at the event (check all that apply):

Invasive Procedures

Non-Invasive Procedures

Vendor List

Please list the vendors at this event

Vendor Name:

Contact First Name:

Contact Last Name:

Phone Number:

Vendor Set up:

Indoor

Outdoor

Indoor and Outdoor

Add another vendor Remove this vendor

Site Plan

Your site plan will indicate all areas to be used and the location of all facilities and activities, including the location of:
- Personal services vendors
- Structured vendor handwash stations (needs approval from OPH)
- Washrooms
- Food services vendors

Please upload your site plan:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I Acknowledge the following OPH requirements:

To ensure infection prevention and control (IPAC) standards can be maintained, the booths will be sectioned off to ensure limited public access where services are being provided.

The event coordinator/organizer will ensure the venue is maintained in a sanitary condition during the event.

Event Organizer will ensure all Personal Service Setting vendors submit a Personal Service Setting Special Event Vendor Application form

Please note that non-compliance with OPH requirements may result in service interruption or closure.

Form Builder

Personal Service Setting Special Event Organizer Application Form

Organizer Information

Alternate Contact

Event Information

Vendor Information

Vendor List

Site Plan

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