Fill and Sign the Foodborne Disease Outbreaks World Health Organization Form

Letter of Complaint to Owner of Restaurant for Foreign Substance in Food ______________________________ Name of Restaurant or Owner__________________________________________________________________________________________ Address TO WHOM IT MAY CONCERN: On __________________________ (month and day) of __________ (year) I went to the _____________________________________ (Name of Restaurant) located at ___________________________________________________ (address). I bought a(n) _____________________ (menu item). As I was eating my __________________ (menu item) I suddenly tasted something (describe) ___________________________ ____________________________. I spit the ______________________ (menu item) back into my napkin, looked down, and there was _____________________ (object) in my napkin. This caused me to (describe) ____________________________________ ______________________________________________________________________ ____________________________________________________________________________________________________________________________________________ _____________________________________________________________________. I ask that this matter be investigated and that I be reimbursed for my medical expenses. They were as follows: (e.g., amounts paid to physician(s) and date; any medication required) ______________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. Sincerely yours, ________________________________ ________________________________ ________________________________________________________________ (Name, address and phone number)