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Food & Lodging Program Sanitation Complaint Form



Food Safety and Lodging Sanitation Complaint

Thank you for contacting the Vermont Department of Health regarding a concern about food safety or sanitation in a food or lodging establishment serving the public. Providing detailed information regarding your complaint will allow the department to evaluate the information for follow-up. Please be as detailed as possible to provide a complete picture of your concerns and observations. For example, a complaint that is one sentence long with limited information does not provide enough information for follow-up.

If you choose to remain anonymous, please know that we understand your desire for privacy and you may skip the "Your Contact Information" section below. However, we sometimes have questions about the complaints we investigate. If we are unable to contact you, it could slow or stop our investigation.




 
1. Your Contact Information
Food Safety and Lodging Complaint

Required fields are marked by an asterisk (*).
This question requires a valid date format of MM/DD/YYYY.
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4. Is this complaint about a lodging establishment? *This question is required.
7. Are you a current or former employee at this establishment or working with this event?