Water Well Concern
Complaint Form

(Note: Cook County Department of Public Health does not regulate municipal drinking water supplies) The Cook County Department of Public Health is the regulatory authority for all complaints and concerns in Cook County regarding water wells, closed loop wells, and water concerns from a water well. Please fill out the form below and our staff will contact you.

Name
Email*
Phone Number
Complaint Location
Establishment Name
Address 1
Address 2
City
State
Zip
Date of Violation
MM slash DD slash YYYY
Time of Violation
Please explain your complaint*
By clicking submit you agree that CCDPH may disclose the information contain in this form to other entities that may be able to assist you or to other authorities that may have jurisdiction over this issue.
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File a Complaint

Updated January 10, 2025, 1:30 PM

Water Well Concern Complaint Form

File a Complaint

Water Well Concern
Complaint Form