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  • Report a Foodborne Illness

    Complete the form below to report a foodborne illness.

    If you would rather report by phone, call (253) 649-1696.

    All reports are investigated promptly. We ask you to submit your contact information in case we have questions or need clarification during the investigation.

    Per RCW 42.56.240, you may request to keep your name and information confidential when submitting a complaint. However, the Health Department may be required to release your name and information pursuant to Public Disclosure or court order.

    Your Contact Information

    Keep my name and contact information confidential.
    Name

    Name of Food Establishment and Location of Incident

    Location of Incident

    Enter the address (street address, city, and zip code) of the food establishment. If you are unsure of the exact name, or address use our online Food Inspection Database to look it up.

    If the incident is associated with a temporary event or a mobile food establishment give as much detailed information about the name and location of the establishment as you can.

    Location

    Reporting a Problem

    MM slash DD slash YYYY
    Time of Meal(Required)
    :
    To receive a copy of your submission, please fill out your email address above and submit.