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Health Nuisance Complaint Form

The Pinal County Public Health Services District, Environmental Health Services, investigates environmental and public health nuisances such as: illegal dumping, improper disposal or storage of garbage or animal waste, sewage being disposed of onto the ground, and vermin issues such as feral bee hives and mosquito breeding. We also investigate complaints related to poor sanitation at permitted establishments, including: restaurants, public and semi-public swimming pools, manufactured home / RV Parks, Hotels and Motels, public schools, camps, and campgrounds. For more information please refer to the Pinal County Environmental Health Code.

Please provide all or as much information as possible. This information is used to prioritize investigation. Required information is noted with an asterisk*. Failure to provide contact information can delay or suspend investigation. 

Incident Date:  

 
Your Information
Name:
Phone Number:
Email Address: 
Street Address:
City:

State:
Zip:

Business/Nuisance Information
Business Name:
Owner Name:
Nuisance Phone Number:

Nuisance Street Address: 
Nuisance City: 

Nuisance State:
Nuisance Zip:
Occupant:
Occupant Phone:
Location of the Nuisance: 
Example: back of house near the alley
Choose the Type of Complaint, or choose other if not listed: 

Nuisance Description: 

Do you want a follow-up phone call or email?