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COVID-19 Business Reporting Form

Please use this COVID-19 Business Reporting Form to report any COVID-19 positive employees to the Livingston County Health Department within 24 hours of notification. 

After submitting this survey, the LCHD Infection Prevention Team will contact you if needed with follow-up questions.

Please see the Livingston County Health Department Business Guidelines page for additional information about COVID-19: LCHD Business Guidance

 
This question requires a valid date format of MM/DD/YYYY.
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Please provide the following information about this business: *This question is required.
This question requires a valid number format.
This question requires a valid number format.
Type of Business:  *This question is required.
If you have additional questions about COVID-19, the Livingston County Health Department will follow-up with your business-related questions within 2 business days. 

Please enter your questions in the comment box below. 

Would you like a follow-up call from LCHD? *This question is required.