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Provide the information below to request EPH records. Please note that select orders and restaurant inspections are available on the AHS EPH website. Email or fax the request to the office location listed below that is closest to the property. If you would like to mail your request, please find the mailing address on the EPH Contact Map.
Applicant Information – this document is fillable, click on the lines to enter information
Name: Email:
Request for Environmental Public Health Information
Phone Number:
Alternate Phone Number: Address:
Business Information, if applicableBusiness Name: Business Phone Number: Business Fax Number: Business Address:
Details of Request
☐ Inspection Report☐ Record Search☐ Other
Facility name, street address/legal land description, info request & reason
Date range of records requested Until ☐Last inspection report
Edmonton and Area Ph: 780-735-1800 Fax: 780-735-1802 [email protected]
Calgary and Area Ph: 1-855-943-2288 Fax: 403-943-8056 [email protected]
Southern Alberta Ph: 403-388-6689 Fax: 403-328-5934 [email protected]
Northern Alberta Ph: 780-791-6078 Fax: 780-714-5620 [email protected]
Central Alberta Ph: 1-877-360-6366 Fax: 403-356-6433 [email protected]
Signature: Date: __________________
EPHAdmin-13-002Created: Dec/13Updated: Mar/14
