Food Complaint Form

Complete the following form to lodge a complaint in relation to a foreign object found in your food, cleanliness or hygiene practices at a food business.

If a food poisoning/alleged incident occurred outside of business hours please contact 9262 6333 for immediate action.

Submit a Food Complaint

Personal Info
Name
Your Address
Trader's Info
Premises Address
Details of Food
Receipt available?

ie. wrapped, on a plate etc

Any leftovers available?
Maximum 2 files.
10 MB limit.
Allowed types: jpg, jpeg, png, .
Details of Symptoms

Leave blank is symptoms still exist

Symptoms

Tick all that applies

Any other people affected?

During the investigation you may be asked to provide a faecal sample. 

Select the checkbox to confirm this is a valid submission.