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The following form may request personally identifiable or protected health information. Please see our Privacy Policy for details. This form is encrypted. SSL is on to ensure a higher level of security. A recaptcha must be completed before submission, you cannot save progress, and you cannot receive an email copy of the form.

CARES Submission Form

  1. Upload information

    Nassau County recommends applicants use the encrypted CARES Submission Form to submit applications and required documentation as the information may contain Personally Identifiable Information (PII). The use of email to transmit PII is discouraged and not recommended. If you have any questions, please contact the CARES Team at 904-530-6800 or email us at CARES@nassaucountyfl.com.

  2. If any documentation is missing in your submission you will need to resubmit all documentation again. Only the most recent submission will be reviewed for eligibility and must still meet submittal deadlines.

  3. Please enter the business name as it appears on your application

  4. Please include an email address in the event we need to contact you with any questions about your submissions

  5. Please include a phone number in the event we need to contact you with any questions about your submissions

  6. Documents should be combined into a single ZIP file or single PDF file before upload

  7. Documents should be combined into a single ZIP file or single PDF file before upload

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