Coronavirus (COVID-19) workplace outbreak notification form

If you would like speak to someone regarding completing this form, please call 01442 228284.

Business details

For example, office, warehouse, retail etc.

Please include postcode if known.

COVID-19 cases information

Contact details of referrer

How we use your information

We process your information in accordance with the UK GDPR and Data Protection Act 2018.

For more information, please see our privacy policies.