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Food Service Establishment Complaint

  1. Note that this form is to be used to report situations in Miami County, Indiana only. To file a report in other counties and states, please contact your local Health Department as requests for outside of Miami County, Indiana that are sent here will not be processed.

  2. If the complaint is an illness, be sure to submit your name and daytime phone number, a department representative will contact you. Do not submit any medical information.

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  8. This field is not part of the form submission.