COVID-19 Worker Safety Reporting
Please use this form to report employers who are not adequately protecting "essential" workers by allowing and providing necessary protective equipment. The more specific you are, the easier for someone to follow up on the report. If you want to remain anonymous, that is also acceptable, but we typically keep you anonymous even if you provide your contact information for follow up.

Disclaimer: This survey has been designed to collect information about current Denver residents. It is completely voluntary and identifying information will not be collected, but is optional if you want continued followup. We are not a medical entity. Instead, this information is being used to determine where there are gaps in reporting that detrimentally impact marginalized communities. The information collected here will be used by local legislators and reported to DDPHE and CDPHE for appropriate enforcement of CDC guidance.
Employer/Facility Name *
Employer/Facility Location *
Details on complaint *
Your Name (for follow-up)
Your Phone Number
Your Email
Is there someone we else we can/should contact?
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