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:

7. 1001 N Central Avenue, 1st Floor Phoenix Arizona 85004

11. Business Information

13. Name

15. Address

16. City

18. Major East / West

19. Major North / South

23. Type of Complaint

    1. Violation
    2. Foodborne Illness

    1. Mosquito / Vector
    2. Illegal Dumping

    1. Other

25. Violation / Illness Date and Time
    Violation / Illness Date and Time

    Violation / Illness Date and Time

27. Description of Complaint

31. Complainant Information

33. Name

35. Address

37. City

38. State

39. Zipcode

41. Phone Number

42. Email Address

46. Would you like to contacted?

    1. Yes

47. Spanish Speaking Inspector Requested?

    1. Yes

    1. No

Leave This Blank:


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

    This field is not part of the form submission.

50. Submit

* indicates a required field