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 Hotline at (480) 644-3599.  If this is an immediate life-threatening emergency, please call 911.

 

Select any of the following options that apply: 










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, 2010)

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: