COVID-19 (Coronavirus) Non-Essential Business Complaint Form

COVID-19 (Coronavirus) Directors Stay Safe Ohio Order Complaint Intake Form
Please keep in mind, that your entry is considered a public record and is subject to review by anyone who requests this information.

For complaints in the City of Columbus and Worthington, please call 614-645-1519.

Have questions? Review our FAQ here.
Business Information
Business Name *
Business Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Business Phone Number

Area Code Phone Number
Type of Business *
Nature of Complaint (click all the apply) *

Facial Coverings/Masks (employers/employees only) Prohibited Activities Social Distancing Requirements Hand Sanitizer and Sanitizing Products SeparateOperating Hours for Vulnerable Populations Online and Remote Access Food & Beverage Sales Carry Out & Delivery Only
Nature of Complaint *
Business Contact Name (if applicable)

First Name Last Name
Business Email
example@example.com
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Your (Complainant) Information

While it's not necessary to leave your information, it would aid our investigation if we have follow-up questions or need more information.
Your Name

First Name Last Name
Your Phone Number

Area Code Phone Number
Your Email
example@example.com
Additional Comments

0/100
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COVID-19 (Coronavirus) Directors Stay Safe Ohio Order Complaint Intake Form