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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.
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