General Environmental Health Complaints

Complaint Form

  1. CCHD New Logo
  2. ENVIRONMENTAL HEALTH COMPLAINT FORM

  3. COMPLAINANT INFORMATION
  4. COMPLAINT DETAILS
  5. Please provide specific information on the circumstances or conditions of concern.   Include dates, times, observations, or any other information that could assist us during investigation.  

  6. You may upload photos or videos related to the complaint.  

  7. FOLLOW UP

    Would you like us to contact you upon completing the investigation? 

  8. Leave This Blank:

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