Instructions: Please enter as much information as possible. Items with * are required fields. Any information you provide is confidential. You may choose to remain anonymous however please enter a valid e-mail address and telephone number in case we need to contact you for additional information. When you are finished click the "Submit" button. If you prefer, you may file a complaint by phone at (716) 961-6800.
To report a food related illness, please call (716) 961-6800. Do not use this form.