Online Report Form

Use the form below to report a foodborne illness or food safety concern.

If you would rather report by phone, call (253) 798-4712 to report a foodborne illness or (253) 798-4559 to report a food safety concern.

All reports are investigated in a timely manner and kept confidential. Anonymous reports are accepted; however, we ask you to submit your contact information so we can contact you if we have questions or need clarification during the investigation. An * means that the field is required.

Your Contact Information

*Your name

Your email address

*Your telephone number with area code

I would like to be contacted with the results of the investigation by:
email  telephone
I do not wish to be contacted

Name of Food Establishment/Location of Incident

*Name of food establishment

*Address of food establishment

City or town

If you are unsure of the exact name, or address of the food establishment use our online Food Inspection Database.

If the incident is associated with a temporary event or a mobile food establishment give as much detailed information about the name and location of the establishment as you can.


Reporting the Problem

*Date and time of meal

*Description of incident

Privacy Policy: To protect your privacy, all personal information that you include on this form including email addresses, names and phone numbers, etc. are kept confidential and will not be shared with the business in question.