CDPH 110 C (PDF) Opens a New Window. : Use this form for reporting lapses of consciousness or control, Alzheimer’s disease or other conditions which may impair the ability to operate a motor vehicle safely (pursuant to H&S 103900).
After hours: 415-906-1799
Reporting for General Public
Ill after dining out (i.e., at a restaurant, catering company, food stand, etc.)