Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Report a Public Health Problem or Concern

  1. Use this form to report a public health problem such as health violations related to a restaurant, licensed childcare, pool/spa, or tattooing facility, sewage or chemical spills, waste issues, indoor/outdoor air quality problems, water problems, or animals bites. The location of the problem must be within Adams, Arapahoe, or Douglas Counties.

    Submissions to this web form are only monitored during normal business hours, Monday through Friday, 8 a.m. to 5 p.m. (excluding holidays).

    *Important Note: We highly encourage you to provide accurate contact information should questions arise. Anonymous submissions or submissions with fake contact information will not be investigated unless we determine an imminent public health threat is indicated.  

    Adams County Residents:  On January 1, 2023 the Adams County Health Department will begin providing all public health services including all Environmental Health services.  Please visit Adams County Health Department for more information. 

     Arapahoe County Residents:  On January 1, 2023 Arapahoe County Public Health will begin providing all public health services including all Environmental Health services.  Please visit Arapahoe County Public Health for more information. 

     Douglas County Residents:  Beginning September 1, 2022, the Douglas County Health Department assumed responsibility for all Environmental Health services in Douglas County.  On January 1, 2023 the Douglas County Health Department will begin providing all public health services.   Please contact 720 643-2400 or visit Douglas County Health Department for more information. 

  2. Contact Information
  3. Indicate the area of your problem by checking the appropriate box(es) below:*
  4. County of Problem*
  5. Leave This Blank:

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