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File a Complaint
File a Complaint
NDDH
2022-02-15T08:40:25-05:00
File a Complaint
Report a public health code violation.
Date
(Required)
MM slash DD slash YYYY
Complaint Type
Food Borne Illness
Hot Water <65°F
No Heat (seasonal)
No Water
Rabies
Sewage / Septic Overflow
Complaint Type
Bed Bugs / Fleas / Flies / Roaches
Garbage / Refuse
Rodents / Vermin
Vacant / Abandoned Property
Water Quality
Water in Basement
Complaint Type
Air Quality
Animal Feces
Lead / Chipping Paint
Leaking Pipes (source)
Manure (stockpile)
Mold
Odor
Stagnant Water / Mosquitoes
Complaint Location
Permitted Locations
Please note if this complaint is at a location that is permitted by NDDH.
Campground
Hotel / Motel
Restaurant
Salon
Swimming Pool
Name
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Property Type
Apartment
Condo
Multi-Family
Single Family (Owner Occupied)
Single Family (Rented)
Other
Property Owner
Please enter any information you may have.
Are you renting a space (apartment, house, condo etc.) from the property owner?
(Required)
Yes
No
Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
(Required)
Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Complaint Made By
Please note that a name and contact number are required for our investigators to follow up on the case. We will not contact you regarding this complaint unless more information is required for the investigation.
Name
(Required)
If you check this box, your information will not be shared outside the department and it will be redacted from future Freedom of Information requests when the case becomes available for public records.
Remain Anonymous
If you check this box, your information will not be shared outside the department and it will be redacted from future Freedom of Information requests when the case becomes available for public records.
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
(Required)
Email
Description of Concern
(Required)
Comments
This field is for validation purposes and should be left unchanged.
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