Public Health Nuisance Complaint Form

Public Health Nuisance Referral Form

Please fill out each section completely and accurately.
PLEASE NOTE: This complaint form is NOT for COVID-based complaints. FCPH cannot follow-up with any complaints regarding social distancing, mask wearing or mask exemptions as there are no mandates. These complaints will need to be addressed with the individual school.
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

City

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

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

Public Health Nuisance Referral Form