Report a Covid-19 concern

Data Protection and Privacy Statement

Questions marked * are required

Business details

Enter the name and address of the business where you noticed the Covid-19 concerns.

Use this space to enter any other location information

What are your concerns?

Which of the following best describes you:
What concerns do you have as a customer/resident? (tick all that apply)
What concerns do you have as an employee/employer? (tick all that apply)