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2. Disclaimer
   The Winston-Salem Police Department appreciates your assistance and cooperation during this difficult time. While we will strive to timely investigate your concerns, given the current situation, we will not be able to personally respond to each Notification submitted. Please note that while it may appear on the surface that a particular business does not fall within exceptions in either the Governor's and/or Mayor's Orders, the categories of "Essential Businesses" are broad and if a business carries on Essential Services as well as non-Essential Services, it may still fall within an exception. Be assured that the Winston-Salem Police Department is advising all businesses allowed to remain open of the requirements for social distancing and of the prohibition on allowing more than 10 people to gather in one area.
4. List of City Provisions
   Mayor's Stay At Home Order
5. List of State Provisions
   Governor's Stay at Home Order - On State Website (PDF)
7. First Name
8. Last Name
10. Address
12. City
13. State
14. Zip Code
16. Phone Number
17. Do you want to be contacted?*

    1. Yes
    2. No
18. Email
20. Business Name
22. Business Address or Location*
24. Date / Time of Occurrence*
26. Description of Possible Violation*
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field