Winnebago County Environmental Health Complaint Form

If your complaint is about an emergency situation, call the office at (920) 232-3000.

Would you like to make an Anonymous complaint?

This complaint and the information you provide will be used in efforts to resolve your problem. It may also be used to enforce applicable state laws. Under Wisconsin's Open Records Law, this complaint will be available for public review upon request, after this department's action is completed.

Yes

Clear selection

What is your name?

Demographics

What is the best number to contact you at?

In case we need more information or clarification regarding the complaint.

What is your address?

Street, City/Town/Village

Can we contact you by Email? If so, what email address do you prefer?

Type of Complaint

What type of complaint do you have? *

Food Establishment (Examples: Facility Cleanliness, Pests/Bugs, Service Related, Illness, Foreign object/quality

Environmental (Examples: Water/Sewage, Housing Issues, Animal Issues, Pests/Bugs, Solid Waste/Garbage

Other:

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