Complaint Form - Food Safety - Alameda County Environmental Health

Banner for Alameda County Environmental Health shows picture of department building.

ACEH Home

Program

Overview

Restaurant Grading System

>	Placard Grading Policy and Procedures
>	FAQ's

Restaurant Inspection Results

Laws

>	California Retail Food Code (Cal Code)
>	Sherman Food, Drug, and Cosmetic Laws
>	California Food Handler Card Law

Plan Check Documents

Temporary Events

FAQ's

Mobile Food Facilities

>	Mobile Food Placarding Information
>	FAQ's

Related Links
>	CCDEH Food Documents
>	Health Safety Notices
>	Safe Food Handling
>	Cross-Contamination Issues
>	Proper Hand Washing
>	Cooking Temperatures
>	Handling Take-Out/Leftovers
>	Berkeley Food Facility Program

Submit a Complaint

How to submit a foodborne illness complaint:

Alameda County Department of Environmental Health investigates all complaints concerning a retail food facility, places such as restaurants, bars, bakeries, and grocery stores that sell food and beverages directly to the consumer. If you want to report a foodborne illness complaint, please call our office directly at 510-567-6700 between the hours of 8:00 am and 5:00 pm, Monday through Friday.

You may also submit your complaint using this email form. Please enter the nature of your complaint so that we may process your request.

NOTE: JavaScript is required in order to use this form. Your browser either does not support JavaScript or has JavaScript disabled. You can still send your feedback by opening your e-mail program and sending an e-mail to itdweb@acgov.org. Be sure to include a descriptive subject so that we can forward your e-mail to the appropriate person.

* Indicates required field.

Food Facility Information

* Facility Name:

* Street Address:

* City:

Your Information

* Complainant Name:

* Daytime Telephone:

Others who ate with you:

*List of all food and beverages that you and each person with you consumed:

Illness Information

* Date & Time You Ate:

* Date & Time You Became Ill:

* Symptoms:

* Length of Time Your Illness Lasted:

Did you see a physician? Yes No

If you saw a physician, do you have lab results? Yes No

Online Services
>	Restaurant Inspection Results (map version)
>	Restaurant and Mobile Food Facility Inspection Results (non map version and mobile device enabled)
>	Submit a Foodborne Illness Complaint
Forms
*Requires the free Adobe Reader.
>	Temporary Event Booth Pre-inspection/Self Inspection Form (PDF - 95kb)*
>	Temporary Food Facility Permit or Catered Event Permit Application (PDF - 1mb)*
>	Temporary Events Sponsor Application (PDF - 478kb)*
>	Food Safety Certification Schedule and Registration: classes taught in English (PDF - 164kb)*
>	Food Safety Certification Schedule and Registration: classes taught in Spanish (PDF - 308kb)*