Nuisance Complaint Form

Please complete the form below to report a nuisance complaint in Scott County, Iowa. A nuisance may include Air Quality, Animal Feces, Building, Food/Restaurant, Garbage/Dumpster, Illegal Burning, Illegal Dumping, Junk, Rats/Mice/Rodents, Roach/Insect, Sewage, Tires, Vehicle Fluid and Water complaint.

Please complete the following form:

 
* Denotes Required Information

 
 Part 1: Tell us About You:
We request this information to follow up on selected cases and check validity of data. This information is confidential not shared with any other party.
Full Name  * 
Email    
Phone  * 
Address  * 
City  * 
State    
ZIP Code     -
 Part 2: About the Nuisance:
Select the option that best relates to your complaint.
Nature of Complaint  *  Air Quality   
Animal Feces   
Building   
Food/Restaurant   
Garbage/Dumpster   
Illegal Burning   
Illegal Dumping   
Junk   
Rats/Mice/Rodents   
Roach/Insect   
Sewage   
Tires   
Vehicle Fluid   
Water   
Other   
Where is the nuisance is found? Please provide a place name, a street address or the nearest intersection and the city. Location must be a Scott County, Iowa address only.
Resident or Place Name:    
Street Address or Nearest Intersection    
City    
Tell us your complaint
Message  * 
 Part 3: Review and Submit
Thank you for using our form. This nuisance complaint will be reviewed by the Scott County Health Department. You may be contacted within two business days. Your name and address are kept confindential. Please call our office at (563) 326-8618 with follow up questions.
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Scott County Only* This form is for reporting nuisances that occur in Scott County, Iowa. If the incident did not occur in Scott County, Iowa, please call your local Health Department.