Submit a Foodborne Illness Complaint

This form can be used to notify the Department of a suspected foodborne illness that you or someone you know have experienced related to a retail food facility. Please be sure to provide information required by the form and include accurate contact information if you would like a reply from our Department. Contact information is critical in case representatives of this Department require additional details. Any personal contact information provided shall be kept confidential. Fields with an asterisk(*) are required.

If you need immediate assistance during working hours please contact a branch office. 

 
 
 
 
 
 
 
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