Clark County Washington
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Submit a Public Health Complaint

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Request for Investigation

Please give the street address of your location of concern. (If your complaint concerns a food service establishment,give the restaurant or store name and address.)

If you don't have an exact address, please list cross streets
and clear directions (i.e. N,S,E,or W of...).

What is the name of the property owner(s), if known?

Describe your concern in detail (please indicate where the
problem is on the property).

I wish to remain anonymous.
(The health department will not release your identity.)

Note: The following information is required. (If we are unable to verify the location or confirm the public health threat we may need more information from you.)

Name:

Address:

Phone Number:

Email:

Please contact me as soon as possible regarding this matter.

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Clark County Public Health: Director John Wiesman
Street Address: 1601 East Fourth Plain Boulevard, Vancouver, WA 98661
Mailing Address: P.O. Box 9825, Vancouver, WA 98666-8825
Main phone: (360) 397-8000
TTY: (360) 397-8407
E-mail: Public.Health@clark.wa.gov

Responsible Elected Official: Board of Clark County Commissioners

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