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2. You can use this form to submit a complaint or report a problem to the Health & Food Safety Division of the City of New Braunfels. If you do not want to make an online complaint, you may contact the City of New Braunfels Health & Food Safety Division at (830) 221-4041.
4. Date (mm/dd/yyyy)*
6. Complainant Name
8. Complainant Address:
10. City
12. State
14. Zip
16. Phone
18. Your email address*
20. 
    
22. Please Provide location of complaint where problem exists
24. 
    
26. If known please provide the name of the facility.
28. Address
30. City
32. State
34. Zip
36. 
    
38. 
    
40. Please check the type of complaint *

    1. Restaurants/Bakery/Schools/Nursing Homes
    2. Food Trucks
    3. Bars/Taverns
    4. Public/Semi Public Swimming Pools
    5. Septic Systems
    6. Hotel/Motel
    7. RV/Mobile Home Community

    1. Farmers Market/Special Event
    2. Day care centers
    3. Illegal Food Vendor
    4. Smoking
    5. Food Poisoning
    6. Other
42. Please fill out the area below to provide additional information
44. Date of incident (mm/dd/yyyy)*
46. Describe complaint or problem*
48. 
    
50. If complaint is food poisoning related please contact our office at 830-221-4041 or email us at environmentalhealthdivision@newbraunfels.gov so we can obtain some additional information.
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field