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Business COVID Non-Compliance Report Form

  1. Porter County Business COVID Non-Compliance Report Form
  2. This form is to report non-compliance with general requirments for Porter County businesses and entities and/or the special requirements for restaurants, bars, taverns, nightclubs and other establishments providing in-person food.
  3. Your Contact Information
    This information is required. We will only contact you if we have further questions about your report.
  4. How would you prefer that we contact you if we have further questions?*
  5. Business Information
    Please provide the following information about the business you are reporting.
  6. All fields in this form REQUIRE an answer. Please be sure to verify that you have answered all questions before you submit this form. You will not be able to submit this form unless all questions are answered.
  7. Leave This Blank:

  8. This field is not part of the form submission.