REPORT ANY CORONAVIRUS (COVID-19) VIOLATION -
RELATED TO ANY BUSINESS IN THE CITY OF DICKINSON

Please complete and submit the below form for any violations witnessed, related to current Coronavirus (COVID-19) orders/laws in place, for locations in the City of Dickinson.
All questions/information requested with an asterisk (*) are required.

The City of Dickinson asks that citizens and guests report any violations witnessed, but should NEVER challenge or attempt to confront or enforce any current orders/laws in place themselves.
In case of an emergency Dial 911

Is the violation being reported related to a bar in Dickinson? If related to a bar, please file all complaints of violation(s) to the TABC via email:
complaints@tabc.texas.gov*

No Yes

Type of Business**

Convenience Store Cosmetology / Barber / Nail Salon Grocery Store Health Related Business Large Gathering Massage Business Restaurant / Fast Food Retail Vehicle Sale / Lease / Rental Other

Name of Business or Organization**

Business Address or Nearest Intersection Where Business is Located**

Business Owner/Manager Name
(If unknown, leave blank)

Business/Owner Phone Number
(If unknown, leave blank)

Business/Owner Email Address
(If not known list "unknown")

Witnessed Violation(s)**

Business not requiring customers to wear face coverings Business not requiring employees to wear face coverings Business not enforcing 6 foot of physical distancing

Too many people allowed to gather Other

Concern(s) or Observation(s) you would like to report**

Date of Observed Violation(s)*

If you want this to be an anonymous complaint, DO NOT include your name or contact information below

First Name

Last Name

Your Email Address

Your Phone Number