Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Environmental Health Complaints

  1. Our Specialists may need to contact you for additional information.

    Complainant information is confidential, unless a subpoena requests the complaint form be submitted for legal process.
  2. Complaint Information
    Please be as detailed as possible when filling out complaint information. This will help our Specialists respond quickly and appropriately.
  3. Leave This Blank:

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