Application for Boards & Committees

Environmental Complaint Form

Please complete the form below to submit an environmental complaint through email. PLEASE NOTE: If your complaint is of an urgent nature, please call the Environmental Programs 24-Hour Hotline at (480) 644-3599. If this is an immediate life-threatening emergency, please call 911.

Please note: This application is considered to be public record.

To:
Subject:

Select any of the following options that apply:

Information Request
Bio-Medical
Dust/Trackout
Hazardous Materials
Illegal Dumping
Improper Oil Disposal
Odor
Other (please describe)

Please provide the following contact information :

Name
Organization
Address
City	State/Province Zip Code
Home telephone
Work phone
E-mail
Incident Address:
Organization (if available)
Street Address
Major Cross Streets
City	State/Province Zip Code
Enter the date that you first noticed the problem:	(i.e. June 1, 2000)
Enter the approximate time of the incident:	(i.e. 1:00 p.m.)

Please provide a brief description of the current situation at the incident address: