Online Food and Waterborne Illness Complaint Form
Please fill out as much of the information listed on this form. Incomplete forms cannot be appropriately processed. The fields with (*) asterisks by them are REQUIRED fields. Our system will not process this form without the REQUIRED fields. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. Please note that this website is not SSL secure and we may not be able to protect your health information from unauthorized access. If you have concerns about your personal confidentiality, please call us at:
FL Department of Health
If you are trying to make a complaint about the cleanliness, employee practices, and/or sanitation of a food establishment, please visit How to Report a Problem with Food in Florida.