Teller County Public Health

11115 W. Hwy 24, Unit 2C - behind Venture Foods
PO Box 928  -  Divide, CO 80814
Phone: 719.687.6416    Fax 719.687.6501

Retail Food Establishment Complaint Form and Information

The form below is in Adobe Acrobat Reader format.
1. Download the form to your desktop - DO NOT FILL OUT AND SUBMIT FORM IN YOUR BROWSER.
2. Open the form you saved to your desktop in Adobe Acrobat Reader, complete the form.
3.  Once you are finished, click the Submit Form button in the top right corner of the completed form.

If you don't have Adobe Acrobat, you can get a free copy here - Adobe ReaderAdobe Acrobat

 Retail Food Establishment Complaint Form