Food safety request

Please use this form to submit a health food service request.

Complainant details

First name*

Last name*

Address*

Suburb*

Postcode*

Daytime contact number*

Email*

Nature of complaint

Which food business does the complaint relate to?*

Does the complaint relate to food poisoning?*

YesNo

Description of food safety complaint*

When did this occur*

Supporting documents (i.e. photos or documents)

Please note that the City is subject to the Freedom of Information Act 1992. Complaints may be dealt with in order of priority, as determined by the City. Should legal action be initiated by the City, you may be required as a witness and give evidence in Court.

Retype the numbers below:

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