Report Suspected Foodborne Illness

Use this form to report suspected foodborne illness (commonly referred to as “food poisoning”). Please complete as much of the information requested below as possible. Be sure to include your FULL NAME and a PHONE NUMBER. Most submissions will be receive a follow-up phone call to gather additional information.

 

BE SURE TO DOUBLE CHECK THAT YOUR PHONE NUMBER IS CORRECT - we are not able to follow-up with you, without an accurate phone number!
When did you first get sick?
Please provide any other information that you feel we need to know, or provide additional details related to your illness or the circumstances leading to your illness.
Print Friendly