Environmental Health Contact Form
Use the contact form below if you need to:
1. Submit a complaint about one of the facilities that we regulate, a malfunctioning sewage system. 2. Attend a food safety training class or Certified Pool Operator Class. 3. Schedule a radon test. 4. Get an answer to a question or have us email you a form (if you have trouble using the document station). |
|
Do you need?:
Instructions for filling out the form
When filling out the comments section, please be as specific as possible about what you have seen or experienced. The more information we have, the easier it will be to investigate the problem or answer your questions.
If you have a photo that you would like to submit, you can use the "Upload File" box to do so. Submissions are limited to image files only (jpg, gif, bmp, png, etc.)
If you have a photo that you would like to submit, you can use the "Upload File" box to do so. Submissions are limited to image files only (jpg, gif, bmp, png, etc.)
Privacy Notice:
To help protect your privacy, please do not provide personal information such as your Social Security number, date of birth, health condition, or health history in your message.
Information you voluntarily provide will be part of public record and can be released. Monongalia County Health Department will process information (email address, mailing address and/or telephone number) in accordance with the State of West Virginia’s Privacy Policy for appropriate and customary business purposes. Your personal information may be disclosed to other State agencies or third parties in the normal course of business or as needed to comply with statutory or regulatory requirements, including Freedom of Information Act requests. The MCHD will appropriately secure your personal information.
Any Information entered will be public record. If you wish to remain anonymous, place a check in the box below and do not enter your name, phone number, or email address.
Information you voluntarily provide will be part of public record and can be released. Monongalia County Health Department will process information (email address, mailing address and/or telephone number) in accordance with the State of West Virginia’s Privacy Policy for appropriate and customary business purposes. Your personal information may be disclosed to other State agencies or third parties in the normal course of business or as needed to comply with statutory or regulatory requirements, including Freedom of Information Act requests. The MCHD will appropriately secure your personal information.
Any Information entered will be public record. If you wish to remain anonymous, place a check in the box below and do not enter your name, phone number, or email address.
Please click the submit button Only Once.
It takes the website a couple seconds to respond.
It takes the website a couple seconds to respond.
