COVID Exposure at Work
PLEASE READ BEFORE USING THIS FORM:
- Please do not report businesses outside Salt Lake County; we do not have jurisdiction over businesses in North Salt Lake, Ogden, Provo, St. George, Vernal, etc.
- Do not include any personal information about the person infected/the person who exposed coworkers.
- For "Exposure dates" include all dates when the infected person was in attendance from 2 days before their symptoms began through 10 days after their symptoms began; for example, if symptoms began September 20, list all dats September 18-30 when the infected person was at work.
- * indicates a required field.