Statewide (non-Sioux Falls) COVID-19 Business Complaint
Please complete this form to notify the state of a business complaint. They will follow up.
Is this employer located within the City of Sioux Falls?
Yes
No
If the employer is within the city of Sioux Falls, please complete that Sioux Falls specific form.
Employer / School Name:
*
Employer's / School's Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you spoken to your employer / school directly about your concerns?
*
Yes
No
If yes, Please explain how that conversation went with your employer / school. If no, please explain, why you haven't talked with your employer / school about your concerns.
*
Please explain the concern in relation to the employer / school pandemic response:
*
What type of work do you do?
*
Concern made by:
*
Employee
School - Student/Parent/Teacher/Employee
Other
Name of person making the complaint:
First Name
Last Name
Complainant's phone number:
-
Area Code
Phone Number
Complainant's email:
example@example.com
Submit
Should be Empty: