Food Establishment Complaint

The Platte County Health Department regulates food establishments in the county, with the exception of those located in Kansas City, Missouri. Food establishments in Kansas City are regulated by the Kansas City Health Department, which can be reached by phone at 816.513.6315.

If you have a complaint about a food establishment in our jurisdiction, please complete this form. A representative of the Platte County Health Department will investigate your complaint in a timely manner. If you would prefer to talk to a health department representative, we can be reached by phone at 816.858.2412.

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email*

example@example.com

Name of Food Establishment*

Food Establishment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is food establishment located in city limits of Kansas City, Missouri?*

YesNo

Food establishments in Kansas City are regulated by the Kansas City Health Department, which can be reached by phone at 816.513.6315.

We are not able to investigate this complaint and you will not be able to submit this form.

Do you beleive you were made ill from food establishment?*

YesNo

Please describe your illness symptoms.*

Detailed description of conditions prompting complaint.*

Most recent date when conditions were observed.*

Any additional information.