Public Health Nuisance Complaint

PLEASE NOTE:

The form must be FULLY COMPLETED AND SUBMITTED before an investigation will be made.
This form is a public record and may be subject to disclosure upon a public record request or as required by a judicial order (Ohio public records law - ORC 149.43).

IMPORTANT:

Enter your information and click Submit.
When prompted to REVIEW your information, make needed changes or click Submit, again.
Your information WILL NOT be sent until you REVIEW and click Submit the second time.