Lodging Facility/Pool Complaint Form

Availability:

Complaints about a lodging facility or pool in Henrico County, Virginia can be submitted to the Henrico County Health Department by calling (804) 501-4529 or by completing the form below and submitting it. Please be as specific as possible when describing the complaint. Your name, address and phone number are required for investigation.

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Establishment Name:*
Establishment Address*
Name*
First Last
Daytime Phone*
Your Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please Explain, including date and time in establishment:*
Email
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