Online Complaint Report for Violations of Emergency Order 1- Relating to preventing the spread of
COVID-19 by requiring face coverings in certain situations.

This form is to be used for individuals wishing to file a complaint on a violation of Emergency
Order #1- Related to preventing the spread of COVID-19 by requiring face coverings in certain
situations. Complaints are reviewed by the Langlade County Health Department and education will be provided. If/when deemed necessary complaints may be forwarded to the district attorney.

Please DO NOT call 911 to report a face covering
violation.

*Anonymous complaints will not be followed up on*