2. Environmental Health- Request For Document
6. Public Record
   All correspondence with the Environmental Health division of the Craven County Health Department is subject to North Carolina public record law in accordance with NC G.S. 132. Correspondence includes, but is not limited to, email and complaint forms.
10. Requestor Information
12. Requestors Name:*
13. Date:*
    Date:
15. Phone Number:
16. Fax Number:
18. Email Address:*
22. Food, Lodging, or Institutional Establishment
24. Name of Establishment:*
26. Establishment Type:*
28. Establishment Address:*
30. City:*
31. State:*
32. Zip Code:*
34. Type of Information Requested:*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field