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1. Complaints about an establishment:
Information to include: name and location of establishment, date and time of visit, nature of complaint, any other pertinent details
2. Complaints about a food product:
Information to include: brand name of item, where and when purchased, product code and/or expiration date (this is NOT the UPC code), nature of complaint
If you suspect you or your party have become ill from eating food purchased at a restaurant or food store:
Call your local health department as soon as possible. If you are still symptomatic, or if you have leftover food, the health department may ask for a sample.
Information to include: What was eaten, including beverages, condiments and dessert, symptoms, time of meal and when symptoms began, name of facility or product, date food was eaten, and number of people affected. Include doctor or hospital information if applicable. The only way to confirm a foodborne illness is by a stool sample, which can be collected by a medical professional or the local health department.
Typical symptoms of foodborne illness include, but are not limited to nausea, vomiting, cramps, diarrhea, dehydration, headache or fever. Depending on the bacterial, viral or chemical agent responsible for illness, symptoms may begin in as little as one half hour to several weeks. For more information, see the foodborne illness chart.
When filing a complaint, please provide as much detail as possible about the location of the complaint, when the activity occurred, and what happened.
Note: The information you submit on this form may be considered public record and subject to disclosure, upon request. **All fields are required.