Complaint form

This form can be used to file a complaint on an issue that you would like the Department of Environmental Health to investigate.

**If you would like follow-up on your complaint please provide an email or phone number that we may use to contact you.  Any personal contact information provided is kept confidential.

If you need immediate assisstance or would like to follow up on a prior complaint submittal please go to our office locations page and contact the office nearest you.

Type of Complaint:*
Business Name if Applicable:
Address and/or Location:*
City/Community:*
Time and Date of Occurence:*
Your Name:*
Your E-Mail:*
Your Phone Number:*
Complaint Details:*
All fields marked with an asterisk (*) are mandatory.
    
Riverside County Department of Environmental Health