Fields marked with an * are required Public Health Nuisance Report This form is for Public Health Nuisance issues, this is not for food service complaints. Please send us a message by filling out the form below and we will get back with you shortly. Name * First Name * Last Phone Number * Email Address of complaint: * Address Line 2 City State Zip Code * Brief description of the house if house number is not clearly visible: Type of Nuisance Problem * Examples: Garbage and solid waste, pet waste, tires, mosquito complaints, etc. Describe Complaint (Be descriptive) * Date of Problem * MM/DD/YYYY reCAPTCHA If you are human, leave this field blank.