Name (required)

Email (required)

Phone Number (required)

Subject or establishment/persons name (if you are reporting an issue)

Address (if you are reporting an issue)

Message or description of the issue

You may use this form to report an issue such as rabies, bedbugs, rodent and pest infestations, indoor air quality, mosquitoes, sewage, or foodborne illnesses. If you are reporting an issue, please include the establishment or persons name and address, and as much detail about the issue as possible. If the issue is urgent, please contact our Environmental Health office at (859) 231-9791.