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Gatherings & Events COVID Non-Compliance Report Form

  1. Porter County Gatherings & Events COVID Non-Compliance Report Form

  2. This form is to report non-compliance with requirements for current or upcoming Gatherings & Events

  3. Your Contact Information

    This information is required. We will only contact you if we have further questions about your report.

  4. How would you prefer that we contact you if we have further questions?*

  5. Gathering Or Event Information

    Please provide the following information about the gathering or event you are reporting.

  6. Are You Reporting....*

    Please Check The Appropiate Option.

    1. If you are not sure, please enter "Not Sure".

    2. All fields in this form REQUIRE an answer. Please be sure to verify that you have answered all questions before you submit this form. You will not be able to submit this form unless all questions are answered.

    3. Leave This Blank:

    4. This field is not part of the form submission.