Report an Environmental Health Problem

For problems in Dane County, Wisconsin.

Fill out the form below to report problems with things like restaurants, public swimming pools, unsanitary living conditions, pests, and more. Click "select" under "type of report" for options.

Yuav Tsum Muaj JavaScript

Koj yuav tsum qhib siv JavaScript txhawm siv daim ntawv no. Thov qhib siv JavaScript thiab rub nplooj ntawv tawm dua. Yog tias koj tsis tuaj yeem qhib JavaScript tau, thov hu rau webadmin@cityofmadison.com txhawm muab koj cov ntaub ntawv.

Type of Report

Date of Incident

Name of Establishment

Address of Incident

Street Address

Unit

City

State

ZIP Code

Please describe the incident, including date, time and location.

Photo Upload

One file only. 10 MB limit. Allowed types: gif, jpg, jpeg, png.

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Have you reported this incident before?

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Contact Information

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Tsis xav, txhob tiv toj kuv.

Xav, tiv toj los ntawm hu xov tooj.

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Email

Xov Tooj

Report an Environmental Health Problem

For problems in Dane County, Wisconsin.

Peb Lub Luag Hauj Lwm

Kev pab txog lus thiab tsab ntawv ceeb toom txob kev tsis pub muaj kev ntxub ntxaug