Winnebago County Environmental Health Complaint Form
If your complaint is about an emergency situation, call the office at (920) 232-3000.
* Required
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
No
What is your name?
Your answer
Demographics
What is the best number to contact you at?
In case we need more information or clarification regarding the complaint.
Your answer
What is your address?
Street, City/Town/Village
Your answer
Can we contact you by Email? If so, what email address do you prefer?
Your answer
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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