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345 6th Street, Suite 300
Bremerton, WA 98337
(360) 337-5235
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(800) 273-8255
(877) 256-4859

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Kitsap County health district complaint submittal

To submit an on-line complaint, please complete the following information.  "  ** " Identifies the minimum required information to enable the Health District to start an investigation.  Please include your name and number if you would like the Health District to contact you regarding the status or resolution of the complaint.

If you wish to remain anonymous, please do not use this form.  Instead, file your complaint by calling  the Health District at (360) 337-5285.

  1. Your Name: 

  2. Your Contact Phone Number:     

  3. Alleged Source or Violator (Name of Violator, or Commercial Establishment)**
 

  4. Violation Address or location (Street, & City)**
 

  5. Driving Directions - you may indicate cross roads for reference**
 
  6. Is this a rental property? Yes No

  7. If a Rental Property Landlord's Name:

  8. Description of Violation  - Please be as descriptive as possible**