This form is intended to collect information about suspected foodborne illnesses from an establishment in Gallatin County, including restaurants, grocery stores, food trucks, gas stations, etc. All information contained in your response will be kept confidential.

Please review all information above for accuracy. Once you submit this form, it will be reviewed by our communicable disease team. You may receive a follow up call if additional information is needed. When the report is reviewed, pertinent information including symptoms, establishment and dining details will be shared with an environmental health sanitarian who will follow up with the establishment accordingly.