Burlington County Health Department Complaint Form



All complaints will be investigated within 48 hours of receipt.

All fields marked with an asterisk(*) must be filled out in order for the complaint to be investigated.


Note:  Mosquito complaints should be entered using the Mosquito Complaint form.

Stagnant pool complaints can be entered into the form below.


Your Information

Name of Person Submitting Complaint:*
The Preferred method if you would like to be contacted:

Complaint Information

Date Created
:  
Last Updated
: