Kenton County: File a complaint | Northern Kentucky Health Department

Date and Time
Date witnessed*
MM slash DD slash YYYY
Approximate time witnessed*

: Hours

Minutes
Business Information
Company*
Address
City*
Contact Information
Note: Your contact info is optional. Complaints may be submitted anonymously.
Name
First Last
Address
City
State
Zip Code
Phone
Type of Smoking Violation Reported
Violation(s)
- Customer smoking witnessed in prohibited area
- Employee smoking witnessed in prohibited area
- Signage does not meet requirements
- Ashtrays present inside
Check all that apply.
Please describe the nature of problem*
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