Request edit access
COVID-19 Non-Compliance Reporting Form
This form can be used to report situations in which a business is suspected of being in non-compliance with state orders regarding industry guidelines, physical distancing guidelines, face coverings, etc. (
Email *
Please indicate the type(s) of non-compliance
What type of industry is being reported?
Clear selection
Name of Business or Host of Unsanctioned Event being reported *
Street Address *
City/Town *
Phone Number/Contact Information (if available)
Due to the volume of non-compliance reports received, we are unable to provide individual updates on the status of reports. Thank you for your understanding.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Report Abuse