Burlington County DIT
Burlington County Health Department Complaint Form
All complaints will be investigated within 48 hours of receipt.
All fields marked with an asterisk* must be filled out in order for the complaint to be investigated.
complaints should be entered using the Mosquito Control Complaint form
Stagnant pool complaints can be entered into the form below
Name of Person Submitting Complaint:
Your Street Address:
Street Address (where complaint exists):
Name of business (if applicable):
Nature of Complaint (please be specific):
Homeowner Association or Landlord Name and phone number (if applicable):
Additional information may be required to investigate the complaint.
Please provide a phone number or email address where you can be reached.
Preferred method of Contact:
Type the characters from the image below.
Do Not Fill This Out