Environmental Health Complaints & Inquiries Form

  • Please answer the following questions and submit the completed form.
  • Fill out the form with the required information. ** Required Fields
  • Environmental Health Department staff will investigate the complaint or refer it to another agency if appropriate.
  • You may be contacted for additional information. You can be called back if requested (in complaint).

Environmental Health Complaints & Inquiries Form Submittal

Complainant Information

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**     no dashes (i.e. 607 123 4567)

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Complaint Source Information

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Air - in/out; Garbage / Refuse; Sewage; Pools / Beach; General Nuisance; Food Service; Rodent; Water; Smoking; Other; Env Health Assessment; Mobile Home Park; Temporary Residence; Rabies

    no dashes (i.e. 607 123 4567)

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