This form serves to notify the City of Lafayette that the major store named believes that it should not collect a Single-Use Bag Fee as outlined in Colorado House Bill 21-1162. Once this form is received by the City, your request will be reviewed, and you will be notified within 20 business days whether the Single-Use Bag Fee will apply to your business. The review process may include a site visit to your business.
Please answer the following questions. All fields (even those not marked with an asterisk) are required.
Please provide some information about your business and who to contact about the status of the exemption or questions.
This six digit number can be found on your business license.
Please refer to HB 21-1162 before submitting your answer.
Once the form is received, staff will in in contact within 20 business days regarding the status of your exemption.
This field is not part of the form submission.
* indicates a required field