Complaints Uncategorized Tháng Năm 30, 2023 by qtvadminComplaints(In Allen County, Indiana Only) Complaint Type: Choose one…FoodHotel/MotelEstablishment Name: Establishment Address: Date Complaint Observed: Time Complaint Observed: If Hotel/Motel Complaint, Location of Complaint (ie. Room Number): Complaint Observed:Did you contact management? Choose one…YesNoIf so, list the name of the person you contacted? If Food Complaint, Nature of the Complaint: Choose one or more…Unsanitary EstablishmentImproper Food HandlingFood Handler HygieneFood Contamination/Adulteration/SpoilageIllnessFor multiple choices, select 1st choice, then holding CTRL button down, select 2nd choice. If complaint is of illness, be sure to submit name and daytime phone number. A department representative will contact you for more information. Please do not submit any medical information.List the Complaint:Was the food or beverage consumed in the establishment or carried out? Choose one…Consumed in EstablishmentCarried Out of EstablishmentWhat exact food item(s) involved?Complainant’s Name (Optional): Complainant’s Daytime Phone Number (Optional): Complainant’s Address (Optional): people have visited this page.This page last updated: January 09, 2008
