"Food Establishment Complaint Form" - Arkansas

Food Establishment Complaint Form is a legal document that was released by the Arkansas Department of Health - a government authority operating within Arkansas.

Form Details:

  • The latest edition currently provided by the Arkansas Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Department of Health.

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Download "Food Establishment Complaint Form" - Arkansas

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FOOD ESTABLISHMENT COMPLAINT FORM
DATE & TIME OF COMPLAINT:
NAME OF ESTABLISHMENT:
STREET ADDRESS:
CITY:
COUNTY:
NATURE OF COMPLAINT:
COMPLAINANT:
ADDRESS:
TELEPHONE NUMBER:
EMAIL:
Submit Form
THANK YOU FOR THIS INFORMATION. THIS WILL BE FORWARDED TO THE
ENVIRONMENTAL HEALTH SPECIALIST LOCATED IN THE LOCAL COUNTY HEALTH
UNIT. PLEASE CONTACT THE LOCAL COUNTY HEALTH UNIT IF YOU HAVE
QUESTIONS.
FOOD ESTABLISHMENT COMPLAINT FORM
DATE & TIME OF COMPLAINT:
NAME OF ESTABLISHMENT:
STREET ADDRESS:
CITY:
COUNTY:
NATURE OF COMPLAINT:
COMPLAINANT:
ADDRESS:
TELEPHONE NUMBER:
EMAIL:
Submit Form
THANK YOU FOR THIS INFORMATION. THIS WILL BE FORWARDED TO THE
ENVIRONMENTAL HEALTH SPECIALIST LOCATED IN THE LOCAL COUNTY HEALTH
UNIT. PLEASE CONTACT THE LOCAL COUNTY HEALTH UNIT IF YOU HAVE
QUESTIONS.