Instructions

You may use this form to confidentially report any general/specific public health concerns or complaints you may have for any property, business, etc. located within the Township to the Belleville Health Department.


Public health concerns and complaints may include, but are not limited to, categories such as:


      Problems at a restaurant, food market or deliLack of heat for tenantsRodent problems at a propertyAccumulated trash or debris at a propertyTall grass, weeds, overgrowth at a propertyGeneral tenant complaints
      Mosquito breeding or swimming pools that are not maintainedMold in rental housing unitsIllegal Food VendorsProblems at body art facilitiesProblems at tanning salonsUnlicensed dogs/catsUnsafe/inhumane living conditions for pets


Please note that any correspondence submitted through this form will be sent only to Colleen Britton, who is the Director of the Belleville Health Department.


If you wish to directly contact the Belleville Health Department, our phone number is 973-450-3390.


After submitting this form, you will receive a copy of it via e-mail for your records.


Thank you!

Nature of Health Complaint/Concern

Please check the category that best describes the nature of your public health complaint:


      Problems at a restaurant, food market or deliLack of heat for tenantsRodent problems at a propertyAccumulated trash or debris at a propertyTall grass, weeds, overgrowth at a propertyGeneral tenant complaints
      Mosquito breeding or swimming pools that are not maintainedMold in rental housing unitsIllegal Food VendorsProblems at body art facilitiesProblems at tanning salonsUnlicensed dogs/catsUnsafe/inhumane living conditions for petsOther (specify on next page)


May we contact you?

Required Contact Information

Name:

Address:

Specific Health Complaint Information

Please briefly explain the reason you are contacting the Health Department and provide as much specific information as you can detailing the nature of your public health complaint.

You can upload a file here:


Please complete the Captcha box below before clicking on the "Send" button.