Complaint Form

Allen County Health Dept Complaint Form

This complaint form is to be used for registering a complaint regarding a food establishment, tattoo facility, hotel, public health or smoking nuisance within Allen County. The department will respond to complaints as soon as possible. When submitting a complaint, please include specific information as to the nature of the complaint and the issues observed. If specific information is not provided, an inspection may not occur.

Please select a complaint type, above.
Hotel / Motel Complaint:
Yes
No
Food Complaint:
* If complaint is of illness, be sure to submit name and daytime phone number. A department representative will contact you for more information. Please do not submit any medical information.
In the establishment
Carried Out
Public Health Nuisance:
Yes
No
Yes
No
Tattoo Complaint:
* If complaint is of illness, be sure to submit name and daytime phone number. A department representative will contact you for more information. Please do not submit any medical information.
Allen County Smoking Complaint

This complaint form is only applicable to violations of the Allen County Smoking Ordinance. If you have a complaint regarding a smoking violation within the city of Fort Wayne, please call
Fort Wayne Fire Code Enforcement at (260) 427-7665.

Your Contact Information (optional)
If complaint is of illness, be sure to submit your name and daytime phone number so that a department representative can contact you for more information. If you choose to provide your contact information, it may appear on public records associated with this complaint.