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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. (
Please indicate the type(s) of non-compliance
Employees coming to work sick
Physical distancing not being practiced
Face coverings not enforced (customers)
Face coverings not enforced (employees)
High touch surfaces/equipment not sanitized
Operating over COVID-required capacity
Hosting unsanctioned events
What type of industry is being reported?
Bar, brewpub, brewery, and pub
Winery or tasting room
Family entertainment center (for example: bowling alleys, miniature golf, etc.)
Hair salon or barbershop
Gym or fitness center
Campground and outdoor recreation
Personal care service (for example: nail salon, body waxing or tattoo parlor)
Retail (for example: grocery store, specialty store, department store, etc.)
Name of Business or Host of Unsanctioned Event being reported
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.
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