Departments » Public Health » Environmental Health

EH Complaint Form

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Please correct the fields below:

Name of Reporting Party
 *
Contact Information:
 *
Contact Information:
What is the nature of the complaint?
What is the nature of the complaint?
Date Violation Observed?
 *

Facility Name or Property Address:

 *
GPS Coordinate of Violation:
Description of Violation:
 *
Photos or Documentation:
Photos or Documentation:

Complainant confidentiality is mandatory for the Environmental Health Division. Environmental Health may not release complainant information when conducting investigations. Additionally, complainant information is always redacted when copies of the complaints and/or reports are requested through a Public Records Act (PRA) request.

The benefits to providing the requested complainant information include the following:

  • Receive the results of the investigation (if requested)
  • Be able to be contacted by the investigating officer if additional details of the complaint are needed to successfully investigate the complaint and provide important safety information to the investigating officer.
  • Receive educational information about Mendocino County Code (MCC) if the complaint is determined to be unfounded.
  • Receive additional informational resources, if needed.

  1. To receive a copy of your submission, please fill out your email address below and submit.

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