Report a food safety concern

Please use this online form to report a food safety concern. There are two types of concerns you can report using this form.

A. Food poisoning or a foodborne illness

Use this form to file a report if you believe that you became sick from eating or drinking something.
Use this form to report food establishments in Multnomah County only.
We will respond to all reports received after hours or on the weekend on the following business day.

B. Food handling or other unsafe conditions

Use this form to report unsafe food handling seen at a restaurant or food cart in Multnomah County.
This form can also be used to report unsafe conditions at a:
Hotel or motel
Pool or spa
Other licensed facility we inspect
You can also use this form to submit questions or comments for us.

Reporting options. You can also report a concern with food handling or food poisoning by:

Phone -- 503-988-3400
Email -- foodsafety@multco.us.

Please note: If you want to report an unsafe food handling practice at a grocery store or mini-mart, please contact the Oregon Department of Agriculture.

Are you reporting food poisoning, a food handling complaint, or unsafe conditions?

Food poisoning

Food handling or other unsafe conditions

Required Information. Some questions are required in order to report food poisoning. These required questions have an asterisk (*). The additional questions will help us respond to your complaint more quickly.

Check "Next" to continue.

Your Name*

Your Phone Number*

Please enter a phone number where we can reach you if we have additional questions.

Phone

Your Email Address*

Your Home Address*

How many people live in your home?

Name of Establishment*

Please provide information about the place where this occurred. First, what is the name?

Establishment Address*

What is the street address? Or the nearby cross streets?

City or Zip Code of the Establishment*

What was the date when you ate or drank the item that made you sick?*

Approximately what time of day did you eat or drink the item that made you sick?*

What did you eat or drink at that time?*

Please provide details about the item or items. Include any changes or modifications you might have made when you ordered.

What else did you eat and drink before?

Think about what else you ate and drank in the 48 hours before you became ill. Please provide as many details as possible.

How many other people ate or drank with you?

How many other people were (or are) sick in your group?

Your illness*

We want to know more about your illness. First, what was the date when you first felt sick?

Approximately what time of day did you first start feeling sick?*

How long were you sick (in hours or days)?*

What symptoms did you have?*

Mark all that apply.

Select

Did anyone seek medical care?

Select

Is there any additional information you would like to tell us?

Confidentiality*

We will not share your identity with the facility.

We will use your contact information to follow up with you in case we need more details. Also, we can contact you to let you know what actions we took as a result of our investigation.

If you would like this to be confidential, your name and contact information will remain confidential to the extent permitted by law. Would you like to remain confidential?

Select

Your Name*

Your Phone Number*

Please enter a phone number where we can reach you if we have additional questions.

Phone

Your Email Address*

Name of Establishment*

Please provide information about the place where this occurred. First, what is the name?

Establishment Address*

What is the street address? Or the nearby cross streets?

City or Zip Code of the Establishment*

What was the date when the issue occured?*

Approximately what time of day did the issue occur?

Explain what happened*

Please upload any photos or videos you would like to share.

Drag and drop files here or

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