Fillable REQUEST FOR A DISPUTE RESOLUTION BOARD ADVISORY OPINION (Ohio Covid-19)

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BEFORE THE OHIO STAY AT HOME ORDER DISPUTE RESOLUTION COMMISSION: REQUEST FOR A DISPUTE RESOLUTION BOARD ADVISORY OPINION ADDRESSING CONFLICTS BETWEEN DECISIONS BY LOCAL HEALTH AUTHORITIES (Ohio Covid-19)

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BEFORE THE
OHIO STAY AT HOME ORDER DISPUTE RESOLUTION COMMISSION
______________________
Name
______________________
______________________ Request Number _______________
______________________ (for Commission use)
Address
______________________
Phone Number
______________________
E-mail Address
REQUEST FOR A DISPUTE RESOLUTION BOARD ADVISORY OPINION
ADDRESSING CONFLICTS BETWEEN DECISIONS BY LOCAL HEALTH
AUTHORITIES
1. Please identify the local health authorities that you allege have taken conflicting
positions regarding which businesses or activities are essential or non-essential in
conjunction with the implementation of the Stay at Home Order issued by the Director of
the Ohio Department of Health:
2. Explain why you are alleging that such local authority positions conflict:
3. Identify the action that you are requesting the Dispute Resolution Board to
recommend to the Director of Ohio Department of Health through the issuance of an
advisory opinion pursuant to paragraph 23 of the Amended Stay at Home Order issued
on April 2, 2020.
In submitting this request, I verify that the information provided above is true and correct
and agree to abide by an Ohio Health Department decision addressing this request.
__________________________
Signature
__________________________
Print Name
__________________________
Date
For Dispute Resolution Commission Use Only
Request No. _____________________ Date Received ____________________
Advisory Opinion No. ______________ Opinion Date _____________________
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REQUEST FOR A DISPUTE RESOLUTION BOARD ADVISORY OPINION (Ohio Covid-19)

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Completed 18 April 2020

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