Dairy Inspection Complaint

I want to:

Remain Anonymous
Know the outcome of my complaint

If you choose to remain anonymous, please know that we understand your desire for privacy and you may skip the "Your Contact Information" section below. However, we sometimes have questions about the complaints we investigate. If we are unable to contact you, it could slow or stop our investigation.

If you choose to know the outcome of your complaint, please complete the "Your Contact Information" section below so that we may reach you if we have questions. This will also allow us to report back to you the outcome of our investigation.

Your Contact Information

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Email Address:

Telephone:

Format example: (913) 555-1212