Fair Housing Expo

Vendor Information
Type of Organization/Service

Other
Please provide a brief description of your organization and the services/resources you will offer:
Setup Information
Each vendor will be provided with:
- One (1) table
- Two (2) chairs
If you require additional equipment or have specific setup needs (electricity, extra space, etc.), please describe below:
Insurance Requirements
All vendors must submit the following prior to the event:
- Certificate of Liability Insurance
- Workers’ Compensation Insurance (Form C-105.2)
- New York State Disability Insurance (Form DB-120)
Applications will not be considered complete without these documents.
Upload insurance information listed above here:

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Acknowledgment

This is a FREE event. By signing below, you agree to participate and comply with all event guidelines and requirements.
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Submission Information
Please submit completed application and required documents to the email address below if you did not provide the documents in this form:

Email: fairhousing@co.rockland.ny.us
Phone: (845) 364-3511

We look forward to your participation in promoting fair housing awareness in our community!
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Organization Information