Create

1. I have an inquiry regarding:

Covid-19 safety procedures at workplace
Covid-19 positive employee at workplace
Business eligibility to re-open
Question about DLS Covid-19 enforcement
Other

2. I am:

Employee
Employer
Customer, client, patient or public
Other

Business Name:

Business Street:

Business City:

Business State:

Owner First Name:

Owner Last Name:

Owner Email:

Owner Phone:

Your First Name:

Your Last Name:

Email:

Phone:

Note:

Deleted

Progress

DateCreated

Updated