Environmental Problem Reporting Form

Environmental Problem Reporting Form

An inspector will review your report within three business days
Type of environmental problem you're reporting:

Other
This problem is an emergency. Please immediately call 385-468-8888 and select option 8 to be connected to an on-call environmental health scientist. This line is available 24/7.

Business or Facility Name Where Environmental Problem Occurred
If applicable
Address of Problem

Street Address

Street Address Line 2
CityState / ProvinceZIP Code
City
Cities in Salt Lake County only
ZIP Code
ZIP codes in Salt Lake County only
Salt Lake County Health Department responds to problems in Salt Lake County only. For concerns outside Salt Lake County, please contact the appropriate local or county health department.

All reports are confidential.
Your Name

First NameLast Name
Your Phone Number
So we can follow-up with you, if necessaryFormat: 000-000-0000.
Your Email
example@example.com
Should be Empty: