Forms • Sawyer County, WI • CivicEngage

Environmental Health Complaint Form

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Establishment/Owner Name*
Street Address*
City/Township/Village*
Establishment/Owner Phone Number 1
Establishment/Owner Phone Number 2
Establishment/Owner Email 1
Establishment/Owner Email 2
Date of Incident*
Approximate Time of Incident
Brief Description of Incident*
Complainant Name
Complainant Phone Number 1
Complainant Phone Number 2
Complainant Email

* indicates required fields.