Do I need a notary for the Environmental Health Complaint / Referral Form?

No. This form is completed without a notary, and it lists no notarized or sworn attachment.

How do I submit the Environmental Health Complaint / Referral Form?

Mail it to the Cattaraugus County Health Department Environmental Health office at 1 Leo Moss Drive, Olean, New York 14760, or fax it to (716) 701-3737.

What information does the complaint form ask for?

It asks for the complainant’s contact information, the nature of the complaint, the property owner and location, and the tax map parcel ID.

Cattaraugus County, NY · Cattaraugus County

No notary required

Environmental Health Complaint / Referral Form

Cattaraugus County residents can use this form to report an environmental health concern to the County Health Department.

At a glance

Issued by: City of Cattaraugus County · Cattaraugus County, Cattaraugus County, New York
Notarization: Not required: file this form without a notary.
Official source: cattco.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form lets a complainant report an environmental health concern or refer an issue to the Cattaraugus County Health Department. It asks for the complainant’s name, address, and phone number, a description of the complaint, and the property owner, location, and tax map parcel ID. The completed form can be mailed or faxed to the department’s Environmental Health office.

Who needs it

A person reporting an environmental health complaint or referral to the Cattaraugus County Health Department should complete this form.

How to submit it

Mail the completed form to Cattaraugus County Health Department, Environmental Health, 1 Leo Moss Drive, Olean, New York 14760, or fax it to (716) 701-3737.

About notarization

This complaint form is completed without a notary; it lists no notarized or sworn attachment, and the complainant provides the requested information.

How to submit this form

1
Download the Form
Download the Environmental Health Complaint / Referral Form.
2
Complete the Form
Provide your contact information, describe the complaint, and identify the property owner, location, and tax map parcel ID.
3
Review Supporting Information
The form does not list any required attachments; review your entries before sending it.
4
Mail or Fax the Form
Mail it to the County Health Department Environmental Health office in Olean or fax it to (716) 701-3737.

Frequently asked questions

Do I need a notary for the Environmental Health Complaint / Referral Form?: No. This form is completed without a notary, and it lists no notarized or sworn attachment.
How do I submit the Environmental Health Complaint / Referral Form?: Mail it to the Cattaraugus County Health Department Environmental Health office at 1 Leo Moss Drive, Olean, New York 14760, or fax it to (716) 701-3737.
What information does the complaint form ask for?: It asks for the complainant’s contact information, the nature of the complaint, the property owner and location, and the tax map parcel ID.

Need something notarized?

This Environmental Health Complaint / Referral Form doesn’t need a notary, but if you have another Cattaraugus County form that does, a commissioned online notary can help.