Health Department

Department Contact

Complaints

Please provide information below for an Environmental Complaint. WE WILL NOT BE ABLE TO VERIFY YOUR COMPLAINT IF YOU DO NOT PROVIDE THE FOLLOWING INFORMATION, INCLUDING YOUR NAME AND CONTACT EMAIL/PHONE NUMBER.  All names, email addresses and phone numbers of complainants are held confidential. if you choose not to use the electronic submission form below please submit this (Complaint Form) for FOOD Complaints only to the Dubois County Health Department. All other complaints please use this (Form) to submit your complaint to the appropriate agency.

Your Name:

Your Email Address: 

Your Phone Number: 

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                                                                                     Complaint Information Below



Establishment Name or Property Owner:

Address/Directions to the Property or Establishment:

Complaint Description: