Complaint Forms

Click on a link below to file a complaint about:

  • A Restaurant in the Town of Derry
  • A Residential Property in the Town of Derry for reasons such as:
    • Lack of adequate heat or hot water in a rental unit;
    • Insect or vermin infestation in a rental unit;
    • Trash, junk, or other public health nuisance at a residential property.
  • A Food Related Illness in the Town of Derry

Completed, signed forms should be submitted to the Public Health Department in person, via fax, mail or email. Within 24 hours of receipt, a representative from our office will contact you to discuss your complaint.