Mesa County Online Complaint Form
You can use this form to submit a complaint or report a problem to the Mesa County Health Department. If you would like to submit a complaint without collecting your email address, please contact the health department by calling (970)248-6900. Please fill in as much of the information as you can below so that we can forward your complaint or report to the person(s) that can best address it.
Complainant Name
Your answer
Complainant Phone Number:
Your answer
Complainant Email:
Your answer
Type of complaint:
Location associated with the complaint:
Provide facility name and address, including city and zip code
Your answer
Date of incident:
MM
/
DD
/
YYYY
Time of incident:
Time
:
Description of the complaint:
Your answer
**If you are submitting a foodborne illness complaint, one of our staff members will follow up with you to obtain a detailed history to better understand how you may have become sick. Please think about what you consumed in the 3-5 days before becoming ill, along with any other exposures of interest, including contact with ill persons, animal contact, water exposures, and any travel.
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