Pool or Spa Problem Reporting Form

Pool, Spa, or Splashpad Problem Reporting Form

An inspector will review your report within three business days
Facility Name
Facility Address

Street Address

Street Address Line 2
CityState / ProvinceZIP Code
Facility City
Cities in Salt Lake County only
Facility ZIP Code
ZIP codes in Salt Lake County only
Salt Lake County Health Department regulates swimming pools, spas, and splashpads in Salt Lake County only. For problems 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:

Pool, Spa, or Splashpad Problem Reporting Form