Environmental Health

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Restaurant Complaint Submission Form:

Contact info (Optional)
Name:
Phone Number:
Email address:
Would you like to be contacted?	Yes No
Establishment details (Required)
Establishment Name:
Establishment Address:
Date and time of Incident:	[None]
Complaint:
Did you notify the establishment about your complaint?	Yes No
Who did you speak with?
Response:
Please call (262)636-9203 for further assistance
Please only click submit once Any information you provide on this form may be subject to disclosure under Wisconsin’s Public Records laws, in accordance with Wis. Stats. §§ 19.31-19.39.

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