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Food Complaint Form

  1. Bismarck-Burleigh Public Health Environmental Health

    500 E Front Avenue * Bismarck, ND 58504 * Phone: (701) 355-3400 * Fax: (701) 221-6883 * Email: bbph@bismarcknd.gov

  2. Please be VERY descriptive if you do not know the address.

  3. Nature of Complaint

    Please choose at least one complaint

  4. Describe the Complaint

  5. Describe the best way for Environmental Health staff to view the complaint.

  6. If you wish to remain anonymous, DO NOT submit this information.

  7. If you wish to remain anonymous, DO NOT submit this information.

  8. If you wish to remain anonymous, DO NOT submit this information.

  9. If you wish to remain anonymous, DO NOT submit this information.

  10. Leave This Blank:

  11. This field is not part of the form submission.