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You have reached the archived version of NACCHO's website. As of February 1, 2016, the content on this site will no longer be updated and may contain outdated information. To see NACCHO's most recent and updated content, please visit our new site at www.naccho.org.

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EHS-Net Foodborne Illness Complaint Form


The EHS-Net Foodborne illness Complaint Form is a 3-page document designed to facilitate foodborne illness complaint data capture. The target audience/users of the form are public health officials at the local and state level who are involved in foodborne illness complaints and/or foodborne illness investigations. The form was derived from the EHS-Net CSW Justification Grid.

Primary Toolkit:

Food Safety Toolkit

Secondary Toolkits:

CDC Winnable Battles

Keyword Area:

Epidemiology, Surveillance


Institutional Author:






The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.