Kitsap County Health District Complaint Submittal Form

To submit an on-line complaint, please complete the following information. Please include your name and number if you would like the Health District to contact you regarding the status or resolution of the complaint.

To speak with a person at the Health District please call (360) 337-5285.

Name (optional):
Contact Phone (optional):
Subject or Nature of Complaint :
Alleged Source or Violator (if applicable):
Directions (You may indicate cross roads for reference) (optional):
Is this a rental property?:(optional):
If rental, "Landlord's " Name if known (Optional):
Description Of Complaint (Please be as descriptive as possible):