Complaint Form
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Complaints can be reported over the phone at (650) 372-6200 or online using this form. Environmental Health Staff will respond to this form during office hours (8AM to 5 PM, Monday - Friday excluding holidays). All information is confidential and is not given to the owner/property owner or any other third party. This form is to be used only for non-emergency complaints. If this is an emergency, please contact your local police, fire department, or hospital by calling 9-1-1. Your name, phone number, email, and address are kept confidential. If this is a food illness complaint, please provide your contact information in order for our Staff to effectively respond to your complaint. Please allow 3-5 business days for contact from our office. If this is a RENTAL HOUSING COMPLAINT, and you have failed to resolve it with your landlord, please provide the property owner's name and phone number. Please Note: If you reside within the City of San Mateo or City of San Carlos, contact your local Code Enforcement Dept. directly for more information on registering a complaint. San Mateo at 650-522-7150, San Carlos 650-802-4100. Date of Complaint (if different)* Complainant Information Name* Address City State Zip Phone* Email Confirm Email    Type of Complaint* Restaurant Food Truck Hotel/Motel Hazardous Waste (Illegal Dumping, Storage, Spills, etc.) Rental Housing Swimming Pool Other Facility Name * Address* City Zip Phone Responsible Party -- none selected -- Landlord Owner Management Company First Name Last Name Address City Zip State Phone Truck Location Time of Incident Truck License Plate Nature of Complaint*

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