Use this page to file a report with Environmental Health Services if you believe that you became sick from eating or drinking something you consumed at a food establishment located within the County of San Luis Obispo. This form should be used to report illnesses associated with food prepared in retail food establishments located ONLY in the County of San Luis Obispo. Please complete the form below with as much detailed information as you can provide to help us investigate your complaint.

To report an illness caused by a PRE-PACKAGED food item, please contact the corresponding agency:

FDA: To report domestic and imported food products that do not contain meat or poultry, such as a cereal or bottled beverage-Toll-free nationwide: (888) 463-6332

USDA: To report domestic and imported meat, poultry and related products (meat or poultry contained in stews, pizza or frozen foods), and processed egg products– Toll-free nationwide: (800) 535-4555. 

Fields marked with an asterisk (*) are required.

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CONTACT INFORMATION

FOOD SOURCE LOCATION INFORMATION

​*** ALL INDIVIDUALS WHO BECAME ILL NEED TO FILL OUT THEIR OWN FOOD ILLNESS REPORT FORM AND RETURN IT TO ENVIRONMENTAL HEALTH SERVICES *** 

DESCRIBE THE ILLNESS

FOOD HISTORY

LIST ALL OF THE FOOD YOU HAVE CONSUMED WITHIN 3 DAYS PRIOR TO BECOMING ILL. DETAILED INFORMATION WILL BE HELPFUL TO OUR INVESTIGATION.

OTHER INFORMATION

Please list any other information that you feel may be helpful to our investigation: