Manufactured Food/Retail Food Complaint

​​​​​​​​​​​​​​​​​​The Division of Food and Recreational Safety values your feedbac​k. If you would like to file a complaint against one of the facilities licensed by our staff (manufactured food producer, grocery store, convenience store), please fill out the form below.

This complaint and the information you provide will be used in efforts to resolve your problem and will typically be shared with the party complained against. It may also be used to enforce applicable state laws. Under Wisconsin's Open Records Law, this complaint will be available for public review upon request, after this department's action is completed.

Please provide as much information as possible. 


 

* Indicates a required field.
Your name:
Email address:
Mailing address:
Home telephone:
Work telephone:
Best time to contact:
Please briefly describe your food safety complaint:

Were you or a family member injured? Yes No
If yes, mark any of the following symptoms that are or were present Vomiting
Nausea
Diarrhea
Fever
Skin or Eye Irritation
Headache
Other (please describe below)
If yes, did you or a family member get medical attention for the illness? Yes No
If yes, please give the name, address and telephone number of the health care professional who attended:
Were you or a family member hospitalized due to the illness? Yes No
If yes, please give the name, address and telephone number of the hospital or clinic:
Have you or a family member contacted public health authorities (local or state)? Yes No
If yes, when:
Did you buy the food mentioned in the complaint above? Yes No
If yes, please give any or all of the following information about the food product:
Brand name:
Product name:
Size & package type:
Lot or serial number:
Establishment ID number
Expiration or use-by date:
Date you purchased it:
Manufacturer's name and address:
Name and location of store where purchased:
Is there any of the product remaining? Yes No
If so, how much and where is it stored?


Please note: Many areas in Wisconsin are regulated by local public health departments rather than the Wisconsin Department of Agriculture, Trade and Consumer Protection. If the establishment you have a complaint against is not in an area regulated by the Department, our staff will automatically direct your complaint to the appropriate party.