Regulated Business Problem Reporting Form

Regulated Business Problem Reporting Form

An inspector will review your report within three business days
Type of Business:
Business Name
Business Address

Street Address

Street Address Line 2
CityState / ProvinceZIP Code
Business City
Cities in Salt Lake County only
Business ZIP Code
ZIP codes in Salt Lake County only
Salt Lake County Health Department regulates businesses in Salt Lake County only. For businesses 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: