Cabell-Huntington Health Department Sanitary Complaint Form
Please fill out this form as complete as possible and then click submit at the bottom of the page when finished. Thank you!
Your Last Name
Your First Name
MI
Your Home Phone
Your Work Phone
Property Owners Name
Complaint Site Address
City
State
Zip
Type of Complaint?
Restaurant
Garbage/Sewage
Smoking
Other
If Other then Please Explain
Complaint Information (Please provide as many details as possible.)
Directions to the Complaint Site (Please provide as detailed as possible.)
Please be assured that all information is kept confidential and private.
If you are finished, then please click submit
