Air Quality Complaint Form (1) |

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All fields are required unless otherwise indicated.

Your Information

The District maintains the personal information, such as name, address and telephone number, of all individuals reporting a complaint as confidential to the extent allowed by state and federal law. read more

First Name optional

Last Name optional Invalid Last Name

Phone Please Enter a Phone Number

Email Invalid email format Please Enter an Email Address

Address optional

City optional Invalid City

Zip Code optional Invalid U.S. Zip Code

Complaint Details

For confidentiality purposes, please refrain from using your name or home address in the Description.

Complaint Type Please Select a Complaint Type

License Plate #

Description Please Enter a Description

Date Observed Please Enter a Date

Time Observed optional

Occurring Now optional

Property Owner or Business Name optional

Address Please Enter an Address

Cross Street 1 optional

Cross Street 2 optional

City optional

County Please Select a County

Upload Photo or Video optional

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I would like to receive a report upon completion of this complaint investigation optional