Environmental Health Complaint Form

Required fields are marked with asterisks (*)

MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH
ENVIRONMENTAL HEALTH DIVISION
PO BOX 7000, KINGMAN, AZ 86402

BULLHEAD CITY
130 HANCOCK ROAD
ZIP 86442
(928) 758-0704

KINGMAN
3250 KINO AVENUE
ZIP 86409
(928) 757-0901

LAKE HAVASU CITY
2001 COLLEGE DRIVE, STE. 95
ZIP 86403
(928) 453-0712

ENVIRONMENTAL HEALTH COMPLAINT FORM

DATE

PHONE

NAME

ADDRESS

LOCATION OF PROBLEM

COMPLAINT DETAILS

By order of the Mohave County Board of Supervisors dated November 9th, 2020, the Environmental Health Division is prohibited from investigating anonymous complaints. Complaints received without the required contact information will be recorded for informational purposes only.

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