Public Encampment Certification Submission

Florida County Government Submissions Only

Please complete the Public Encampment Certification Checklist or Public Encampment Financial Hardship Checklist and submit with any supporting documentation.

Encampment Name*

Address

County*

Select

Fiscally Constrained County*

If the county is designated as a fiscally constrained county pursuant to section 218.67, F.S., please select the county from the dropdown. Otherwise, select Not Applicable.

Select

Financial Hardship Finding*

Is the county submitting a financial hardship finding at this time?

Select

Point of Contact*

Point of Contact Email*

Point of Contact Phone*

Phone

Checklist and Supporting Documentation File Upload*

Drag and drop files here or

Send me a copy of my responses