Environmental Services Complaint Form

2. Complaint Line Phone Number: 602-506-6616

4. After Hours Non-Emergencies: Please file online complaint using form below or call Complaint Line during normal business hours (Monday - Friday 8 a.m. - 5 p.m.)

6. Walk-in Complaints:

   Office Locations

10. Business Information

12. Name

14. Address

15. City

17. Major East / West

18. Major North / South

22. Type of Complaint

    1. Violation
    2. Foodborne Illness

    1. Mosquito / Vector
    2. Illegal Dumping

    1. Other

24. Violation / Illness Date and Time
    Violation / Illness Date and Time

    Violation / Illness Date and Time

26. Description of Complaint

30. Complainant Information

32. Name

34. Address

36. City

37. State

38. Zipcode

40. Phone Number

41. Email Address

45. Would you like to contacted?

    1. Yes

46. Spanish Speaking Inspector Requested?

    1. Yes

    1. No

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field