COVID-19 General Complaint Form

The Cook County Department of Public Health responds to complaints within various areas of suburban Cook County and the unincorporated areas of Cook County (excluding Chicago, Oak Park, Stickney Township, Evanston and Skokie). Please fill out the form below and our staff will contact you.

Reporting Party Information
Reporting party name*
Reporting party email address*
Phone number where reporting party can be reached during business hours (8:30 a.m. and 4:30 p.m.)*
Reporting party city of residence*
Affected Organization
Name of the organization/school/business affected:*
Contact person's name at the organization/school/business affected:
Contact person's email at organization/school/business affected:
Phone number of the organization/school/business affected:
Address or intersection of COVID related issue
Address 1*
Address 2
City
State
Zip code
Brief description of the issue related to COVID:*
City Location of the organization/school/business affected:*
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Resources

Cook County Resources

Cook County ShinyApp

IDPH

CDC

Updated April 11, 2023, 5:20 PM

COVID-19 General Complaint Form

Reporting Party Information

Affected Organization

Resources

Cook County Resources

Cook County ShinyApp

IDPH

CDC

File a Complaint