Report Unsanitary Conditions

Your Name (required)

Your Email (required)

Your Phone Number (required)

Description of Public Health Hazard or Nuisance


Location of the Problem (required)
Address

Address 2

City

WV
Zip

Person(s) Responsible for the Condition (required)
Name

Address

Address 2

City
State
Zip

Their Phone

Owner of Property If Different
Name

Address

Address 2

City
State
Zip

Their Phone


How long has this condition existed? (required)

Have you reported this to the person responsible? (required)
Yes No 

Have you previously reported this to the Health Department? (required)
Yes No 

Have you reported this to another Agency? (required)
Yes No 
If Yes, which Agency?


By making this request for an investigation and checking the box, I acknowledge that the health department may take all necessary steps consistent with the appropriate laws to investigate and effect correction if such is warranted. Such action may involve referral to other agencies or legal action that may require the need for court appearance and testimony to collaborate the conditions stated in this complaint.

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