1. Home ›
  2. About ›
  3. Report A Problem

Report A Problem

Complaint Against Public Health Programs/Services

Note: This site is only monitored Monday through Friday, 8:00 AM – 5:00 PM with the exception of government holidays. If email is received after these hours, email will be addressed on the next business day. You must include your contact information if you desire a personal response.
 
To submit a complaint for Environmental Health Services, please use the EHS Online Complaint Form.

To report fraud, waste and abuse, please visit the Auditor-Controller/Treasurer/Tax Collector’s website.

    Name

    Physical Address

    City

    State

    Zipcode

    Mailing Address

    City

    State

    Zipcode

    Telephone

    Email

    Complaint registered against:

    Name of Department(s)

    Name of Person(s)

    Address

    City

    Telephone

    Zipcode

    Information regarding complaint:

    Date of Alleged Incident

    Place of Alleged Incident

    Description of the Complaint

    Additional Information:

    Have you already spoken to someone about this incident?

    If Yes, Name of Person Contacted

    Date Contacted

    Describe what happened, if anything, as a result.