Onsite complaint form

Please note: Section 610 of Missouri State Law (Missouri Sunshine Law) requires that records of government agencies be open to the public. Therefore, this complaint form is accessible to anyone who requests a copy in writing. A summary of the Missouri Sunshine Law is available for review online at http://ago.mo.gov/sunshinelaw/sunshinelaw.htm

Person filing the complaint

Name of person filing the complaint

First Name

Last Name

Phone number of person filing the complaint

(###)

###

####

Address of person filing the complaint

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Location of complaint

Name of person at location of complaint

First Name

Last Name

Address of complaint

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number for location of complaint

(###)

###

####

Directions to property (from Troy)

Detailed description of complaint

AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER – SERVICES PROVIDED ON A NONDISCRIMINATORY BASIS

Lincoln County Health Department works cooperatively with Lincoln County and surrounding areas to protect and promote a healthy and safe environment through community outreach, health care, and education.