Purpose: Use this form to report possible food code violations within the City of Lowell. This includes unsanitary practices, spoiled food, pests, improper food handling, and illnesses resulting from food consumption.
* Information is required.
Contact Information
Food Complaint Location:
Please tell us the location of your food complaint by entering the Address # and Street Name below; then click on 'Validate Address' to validate the address against our records.
If you are sure of the address, yet it can't be validated, please click on "Use the address I entered" in the pop-up box, which will transfer your entry to the "- Or Other Not Listed -" field below.
If you are reporting a non-specific area of the City, please indicate so in the 'Location Details' field below.
| * Please indicate the type of establishment: |
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| * Please indicate the nature of your concern: |
| Expired product
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| Improper practices (e.g., failure to keep food at proper temperature, wear hair restraints, or gloves)
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| Pest related (e.g., infestations, droppings, etc.)
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| Poor food quality
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| Other (please describe below) |
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6
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| * Please let us know if you believe this food contributed to an illness (and provide additional details below). |
| Yes
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| No |
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| Please describe your concerns below, making sure to include dates/times, and any health, sanitary, or safety issues in as much detail as possible: |
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Check here to have email confirmation of this request sent.
* Information is required.
NOTES:
Once you submit this form, you will receive a Tracking Number allowing you to check on and/or update your request at your convenience.
Please be aware that any communication(s) made through this system by you or your agent(s), servant(s), or any other representative(s), whether authorized or unauthorized to the City of Lowell, Massachusetts, the Commonwealth of Massachusetts, the owner and/or operator of this web site, and/or any other web site operated by or pursuant to license or agreement by the City of Lowell, Massachusetts, its agencies, officers, employees, agents or representatives shall in no event be deemed to constitute notice for any purpose, whether legal, official, or other.
The submission of this form and/or assignment of a Tracking Number, indicates your acceptance of these terms and the City of Lowell's Terms of Use, and may subject your submission to disclosure.
Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.
