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Health Department Complaint Form

  1. This form must be filled out in order for us to have legal access to the property in question to investigate the complaint. The complaint filed must be deemed a public safety issue or health hazard, i.e. food-borne illness, housing, etc.

    Please note: This complaint will not be pursued unless complainant completes and signs below.

  2. Informant Contact Information
  3. Location of Alleged Violation
  4. Describe in detail the nature of the complaint.
  5. Please list the steps you've taken to rectify the complaint.

    Letter to the owner, etc. Upload any relevant documents below.

  6. Leave This Blank:

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