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COUNTY OF MONTEREY

HEALTH DEPARTMENT

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Environmental Health Concern Form

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Please correct the field(s) marked in red below:

old-countryside-water-well_G1vY4Sj_small-300x199Please complete the fields below if you wish to file a concern or complaint. All complaint information collected by Environmental Health is strictly confidential. Although you may remain anonymous, please be aware that if our staff is unable to obtain additional needed information the concern or complaint cannot be fully verified.

If your concern or complaint is regarding your ambulance billing and medical care, please use the following form: EMS Concern Form and the  Monterey County Emergency Medical Services (EMS) Agency will get back to you as soon as possible.

If you are reporting a possible Food-borne Illness, please use this form: Food-borne Illness Report

For questions or follow up please call 831-755-4508.

This form can also be used for positive feedback and general questions about the Environmental Health bureau.

Complaint Type

 *

Business Information

 *

COMPLAINANT'S INFORMATION (Please complete to receive follow-up information)

In order for us to respond to a complaint, we will need your name and contact information. If you choose not to give your contact information your complaint will be considered a non-priority, unless it is an immediate public health concern.

All complaints are confidential!

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