Food Illness Report Web Form

Food Illness Report Form

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.

Use the TAB key to move to the next field.

CONTACT INFORMATION

Check here if you work in any of these fields:

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

 

Environmental Health Services Supervisors

Environmental Health Services is open Monday-Friday from 8am to 5pm. 

Leslie Terry (805) 781-5553  [email protected]

  • Beach Water Quality, Cross-Connection, Land Use, Small Public Water Systems, Water Well Programs and Vector Programs

Curt Batson (805) 781-5595  [email protected]

  • Body Art, Food Protection, Swimming Pools and Spas

Peter Hague (805) 781-5554  [email protected]

  • Hazardous Materials (CUPA) Programs