Monroe County, Indiana

Welcoming people from all walks of life.

MCHD Application for Exemption from the Gathering Size Limitation

 Step 1 of 1

Click HERE for the Fall 2021 Communal Living Exemption Form

For gathering size limit exemption, fill out form below. Gathering size limits are currently restricted in Monroe County by local and state orders due to the coronavirus pandemic.  Those wishing to have a gathering larger than the current limits can request an increase by submitting the application shown below

A copy of a state issued ID is required to process this application.  Please send a picture of the ID by email to Include the ticket number received after submitting this form on the subject line as well as the Applicant’s last name. 

Submissions are due 14 days before the event. The submission of an application does not mean it is approved.

Applications will be reviewed no more than one month before the event.  Reviews will include the purpose and need of the request, the prevention strategies employed, and current evidence of community COVID 19 disease transmission.

Note: Exemptions may be limited based on the level of community disease spread at the time of the request and events may be subject to cancellation based on outbreak status.

By submitting this application, I confirm that all of the information is true and accurate.

Applicants will be notified by email of request approval or denial.

* Denotes a required field

Responsible Party Contact Information

-- ext

If the Responsible Party is not the property owner, please list the Property Management or Owner's name, address and contact information:

Property Mgt. Owner Phone 
-- ext

Event Information


Characteristics of Location

Will the Gathering be inside or outside?*

Health Screening

Will Health Screening of attendees be mandatory?*
Will you do Temperature Checks?*
Will you ask about Covid symptoms?*
Other Screening Method - If yes, describe.*
Will face coverings be required?*
Will you provided face coverings?*
Will a list of attendees be maintained for the purpose of potential contact tracing*
Will the list include Attendee contact information?*

Increased Sanitation

Will hand washing stations be on site?*
Will hand sanitizer be available?*
Applicants will be notified by email of request approval or denial.