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Carryout Bag Exemption Application

Authorized Representative(Required)
Business Address(Required)
Is your business located in unincorporated Douglas County?(Required)
Does your business engage in the sale of personal goods, household items, groceries, or other tangible property as your primary business?(Required)
Does your business qualify as a small store as defined in HB21-1162?(Required)
All three statements must apply: 1. The store only operates in Colorado. 2. There are three or less locations in Colorado. 3. Is not a part of a franchise, corporation, or partnership that’s located outside of Colorado.