{"id":16906,"date":"2019-10-03T01:34:04","date_gmt":"2019-10-03T05:34:04","guid":{"rendered":"https:\/\/pickawaycountypublichealth.org\/site\/?page_id=16906"},"modified":"2026-04-07T19:21:15","modified_gmt":"2026-04-07T23:21:15","slug":"file-a-complaint","status":"publish","type":"page","link":"https:\/\/pickawaycountypublichealth.org\/site\/file-a-complaint\/","title":{"rendered":"File a Complaint"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16906\" class=\"elementor elementor-16906\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63e1750 e-con e-atomic-element e-div-block-base e-63e1750-f328c8b \" data-id=\"63e1750\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"63e1750\" data-e-type=\"e-div-block\" data-id=\"63e1750\">\n    \t\t\t<h1 data-interaction-id=\"ecdf87f\" class=\"e-ecdf87f-bb55b9e e-heading-base\" data-e-type=\"widget\" data-id=\"ecdf87f\">File a Complaint<\/h1>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-f016b6e e-con e-atomic-element e-flexbox-base \" data-id=\"f016b6e\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"f016b6e\" data-e-type=\"e-flexbox\" data-id=\"f016b6e\">\n    \t\t<div class=\"elementor-element elementor-element-5b814192 elementor-widget elementor-widget-text-editor\" data-id=\"5b814192\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong>PLEASE READ BEFORE FILING YOUR COMPLAINT<\/strong><\/p><p>Pickaway County Public Health takes all complaints seriously and will investigate each complaint that we are able to according to the Ohio Administrative Code and the Ohio Revised Code. Please keep in mind when filing a complaint, you need to fill in your contact information. We cannot take anonymous complaints through our office. If a complaint is filed anonymous other than for a food facility, we are unable to investigate.<\/p><p>When filling in the complaint form, please keep in mind if there is no box to ch eck for the complaint you want to report, the Health Department does not investigate that type of complaint. Ex: Mold, plumbing, roofs, electrical, etc.<br \/>Thank you.<\/p><p><div class=\"frm_forms  with_frm_style frm_style_big_text\" id=\"frm_form_5_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_complaintform\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Complaint Form<\/legend>\r\n<h3 class=\"frm_form_title\">Complaint Form<\/h3>\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"complaintform\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"97ac4373fb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/site\/wp-json\/wp\/v2\/pages\/16906\" \/><div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_wk6vi\" id=\"field_wk6vi_label\" class=\"frm_primary_label\">Date of Incident\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wk6vi\" name=\"item_meta[63]\" value=\"07\/25\/2026\"  maxlength=\"10\" data-frmval=\"07\/25\/2026\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_5wn3l\" id=\"field_5wn3l_label\" class=\"frm_primary_label\">Location Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_5wn3l\" name=\"item_meta[62]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_csp89_label\" class=\"frm_primary_label\">Complaint Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_csp89_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tComplaint Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_64-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_csp89_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tComplaint Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_csp89_line1\" value=\"\" name=\"item_meta[64][line1]\"  data-reqmsg=\"Complaint Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Complaint Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_64-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_csp89_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tComplaint Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_csp89_line2\" value=\"\" name=\"item_meta[64][line2]\"  data-reqmsg=\"Complaint Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Complaint Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_64-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_csp89_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_csp89_city\" value=\"\" name=\"item_meta[64][city]\"  data-reqmsg=\"Complaint Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Complaint Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_64-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_csp89_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\t<\/label>\n\t\t\t<select name=\"item_meta[64][state]\" id=\"field_csp89_state\"  data-frmval=\"Ohio\" data-reqmsg=\"Complaint Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Complaint Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\" selected='selected'>Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">State<\/div><\/div>\n<div id=\"frm_field_64-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_csp89_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_csp89_zip\" value=\"\" name=\"item_meta[64][zip]\"  data-reqmsg=\"Complaint Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Complaint Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_23stf_label\" class=\"frm_primary_label\">Complaint Type: (Check all that apply)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_23stf_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-0\">\t\t\t<label  for=\"field_23stf-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-0\" value=\"Garbage\/solid waste\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   aria-required=\"true\"  \/> Garbage\/solid waste<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-1\">\t\t\t<label  for=\"field_23stf-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-1\" value=\"Weeds\/grass\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Weeds\/grass<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-2\">\t\t\t<label  for=\"field_23stf-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-2\" value=\"Rats\/rodents\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Rats\/rodents<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-3\">\t\t\t<label  for=\"field_23stf-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-3\" value=\"Sewage nuisance\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Sewage nuisance<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-4\">\t\t\t<label  for=\"field_23stf-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-4\" value=\"Insects\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Insects<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-5\">\t\t\t<label  for=\"field_23stf-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-5\" value=\"Public pool\/spa\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Public pool\/spa<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-6\">\t\t\t<label  for=\"field_23stf-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-6\" value=\"School\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> School<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-7\">\t\t\t<label  for=\"field_23stf-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-7\" value=\"Stray or exotic animals\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Stray or exotic animals<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-8\">\t\t\t<label  for=\"field_23stf-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-8\" value=\"RV park\/campgroud\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> RV park\/campgroud<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-9\">\t\t\t<label  for=\"field_23stf-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-9\" value=\"Manufactured home park\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Manufactured home park<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-10\">\t\t\t<label  for=\"field_23stf-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-10\" value=\"Food Complaint\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Food Complaint<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_65-11\">\t\t\t<label  for=\"field_23stf-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[65][]\" id=\"field_23stf-11\" value=\"Mosquitoes\"  data-reqmsg=\"Complaint Type: (Check all that apply) cannot be blank.\" data-invmsg=\"Complaint Type: (Check all that apply) is invalid\"   \/> Mosquitoes<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_hd2ru\" id=\"field_hd2ru_label\" class=\"frm_primary_label\">Please provide a detailed description of the complaint\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[66]\" id=\"field_hd2ru\" rows=\"5\"  data-reqmsg=\"Please provide a detailed description of the complaint cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please provide a detailed description of the complaint is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_390w3\" id=\"field_390w3_label\" class=\"frm_primary_label\">Person Reporting Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_390w3\" name=\"item_meta[67]\" value=\"\"  data-reqmsg=\"Person Reporting Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_390w3\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_390w3\">For all nuisance complaints, we must have the contact information of the person reporting. If this complaint is related to a licensed establishment (i.e. Food Service, Swimming Pools, Campgrounds) it can be anonymous (please put N\/A for each item). Any complaints regarding a sewage system or well must have a reporting name and number. Also, by submitting this complaint, you may be required to testify in court if the complaint is valid and cannot be abated by other means.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_h1on2\" id=\"field_h1on2_label\" class=\"frm_primary_label\">Person Reporting Phone Number\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_h1on2\" name=\"item_meta[68]\" value=\"\"  data-frmmask=\"(000) 000-0000\" data-reqmsg=\"Person Reporting Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_r0sli\" id=\"field_r0sli_label\" class=\"frm_primary_label\">Person Reporting Email\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_r0sli\" name=\"item_meta[69]\" value=\"\"  data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_a5nbx_label\" class=\"frm_primary_label\">Attach a File\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <input type=\"hidden\"  data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[70][]\"  value=\"\" data-frmfile=\"70\" \/>\n\n<div class=\"frm_dropzone frm_multi_upload frm_clearfix\" id=\"file70_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file70[]\" id=\"field_a5nbx\"\n\t\t\t data-frmfile=\"70\" multiple=\"multiple\"  data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Attach a File. Drop a file here or click to upload. Maximum file size: 5MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Attach a File. Choose File. 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