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Health and Human Services
Division of Environmental Health, 1947 Center St., Third Floor, Berkeley, CA 94704
TEL: (510) 981-5310, FAX: (510) 981-5305, TDD: (510) 981-6903
Office Hours: Mon-Fri 8 a.m. to 5 p.m., E-mail: envhealth@ci.berkeley.ca.us
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Complete the following online form to request services or to report a complaint to Environmental Health.  Include a response to each question.  Use your mouse or press [Tab] to move to the next field but do not press your [Enter] key.  Submit the completed form by clicking on [Submit].  An immediate confirmation will display and your Request for Service will be sent electronically to City of Berkeley Environmental Health Division.

If you are unable to read or submit this form, please participate by contacting us via email (envhealth@ci.berkeley.ca.us), or telephone (510) 981-5310, or TDD (510) 981-6903.

REQUEST FOR SERVICE FORM

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Detailed Explanation:
 

Reported by:      Phone: 

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City of Berkeley Logo

Health & Human Services
Division of Environmental Health
1947 Center Street, Third Floor
Berkeley, CA 94704
TEL: (510) 981-5310
FAX: (510) 981-5305
TDD: (510) 981-6903
Email: envhealth@ci.berkeley.ca.us