COVID-19 Public Health Concern Form
At this time Pitkin County Public Health has created a monitoring and compliance system in partnership with local jurisdictions to ensure the necessary face covering and COVID-19 safety protocols are followed.

This form is for violations of the public health order that are not an immediate risk to your personal safety but of a community health concern related to COVID-19. Please contact the non-emergency dispatch number 970-920-5310 for COVID-19 personal safety concerns.

A County Consumer Health Protection Specialist or local government official will respond to your request within 2 to 3 business days.
Name of Submitter *
Phone *
Email *
Complaint Description
Please provide as much detail of your complaint by answering the following questions. A Consumer Health Protection Specialist or local government agency may follow up with you either by phone or email for additional information.
Date of Observation *
Time of Day of Observation *
Location of Complaint (street number & street name) *
Location of Complaint: City, Town or Unincorporated Pitkin County *
Type of Business *
If a Business, Name and Contact (if available)
Type of Complaint *
Description of complaint *
Follow-up Requested *
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