Environmental Complaint Form

Use this form to submit a complaint or report a possible violation of environmental law or rule.
ADEQ will use the information to follow up on the complaint.

Note: Fields with a * are required. If you choose to submit online, you must complete all the required fields.

Complaint Details











Date of Occurrence: (i.e., 01/01/2013)







*


Characters Remaining: 2000

Your Information

Note: fields with "*" are required.






*

Have you been referred to ADEQ?:


*Would you like to be contacted about the result of your complaint?:

Arizona law requires you to provide your name when reporting an alleged violation. Under the law, your name will be placed in the public file unless the release of your name may result in substantial harm to any person, including yourself, or to the public health or safety. See A.R.S. § 41-1010.

*Do you feel that the release of your name may result in substantial harm to any person, including yourself, or to the public health or safety?


Please, only press submit once, otherwise, you will send multiple submittals to us.