Winnebago County COVID-19 Concerns Form

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This form may be used to report concerns in Winnebago County on mass gatherings, businesses, the Safer at Home Order or other COVID-19 related issues. For issues outside of Winnebago County, please contact your local law enforcement or health department.

What is your name?

What is the best number to contact you at?

In case we need more information or clarification regarding the complaint.

Can we contact you by email? If so, what email address do you prefer?

What type of complaint do you have? *

Mass Gathering

Business-related issue

Masking issue

Other:

Type of concern

Restaurant/hotel/bar

Movie theater

Religious center

Gym/fitness/recreational center

Private gathering

Child care center

Other:

Clear selection

Name of business, place, or individual related to concern *

Street address of concern *

City, town, or village of concern *

Please describe the situation *

Submit

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