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Siouxland Healt...
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Report a Health Nuisance Online
Report a Health Nuisance Online
Note: Any fields marked with a Red Asterisk (*) are required to submit.
Note:
Providing your Name, Phone, and Email are optional to provide anonymity, however, if you would like a response from us, your Name and a Phone Number -or- Email Address
must
be provided for us to be able to respond, or contact your for further information.
Message Type
General Question or Comment
Concerns or Complaint
Customer Service Complaint
First Name
Last Name
Phone Number
Email Address - (do not include www.)
Confirm Email Address
*
Subject (brief description)
Please include the following additional information so that we may better handle your Health nuisance report.
*
Address of Violation
What type of violation is this?
Choose
Abandoned or Junk Vehicle(s)
Animal Waste Problem
Junk, Trash, or Debris in Public View
Excessive Noise
Details of your report
What affects are you experiencing? (check all that apply)
Problem is blocking the access of an area
Excessive noise or noise at inappropriate hours
Offensive Odor in Area
Unsightly Area
Do you want us to follow up with you after our investigation?
(If Yes, be sure you have provided contact information above)
Yes
No
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