Public Health Nuisance Complaint Form

Public Health Nuisance Referral Form

Please fill out each section completely and accurately.
PLEASE NOTE:

Due to the lack of regulations specific to mold at the federal, state and local level, Franklin County Public Health is not able to enforce mold remediation or perform mold testing or assessments. Franklin County Public Health is only able to assist in issues where mold impacts multiple units in a multi-Family dwelling, such as an apartment building. Franklin County Public Health cannot respond to complaints at an owner occupied home or a single family/free standing unit.
If the property is in the City of Columbus do not submit your request here. Please submit it to Columbus at https://311.columbus.gov/. Not sure? Check the address at: http://gis.columbus.gov/zoning/
Location Name
Business Name, Apartment Complex, etc. (if applicable).
Complaint Location*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
City, Township or Village Name
Complaint Type (select all that apply)*
Please provide a detailed description of the complaint*
Picture

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Additional Complaint Documentation

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Please provide the best day(s) and time(s) you're available for us to contact you.

Public Health Nuisance Referral Form