State of Hawaii -Dept. of Health
Email address *
Date
MM
/
DD
/
YYYY
Mail To:
Director State of Hawaii -Dept. of Health
1250 Punchbowl Street
Honolulu, HI 96813
Case:
Re: Case number H-17-012

Aloha Dr. Pressler,

Comments:
Detailed Affects:
Captionless Image
Your answer
Closing:
Because of the constant noise nuisance caused by this unabated problem my well-being and health is being affected. Can you please document my complaint and provide a letter of acknowledgement to the address listed below.
Mailing Address:
Your Name:
Your answer
Street:
Your answer
City/State/Zip:
Your answer
When SUBMITTED:
A copy of your complaint will be automatically emailed to James Toma (808-586-4700) at the Health Department! You can also, print, sign and mail to the address above when you receive your email copy!
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms