Online Complaint Form

You may submit a Complaint by mail or in person by downloading the Clean Water Violation Complaint Form in PDF format OR submit online by using the form below.

This is a public document and subject to disclosure under the Public Records Act.
If you wish your identity to remain confidential, this form may be filed anonymously. Or complete the contact information for updates on the progress of the issue(s) listed.

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Nature of Complaint (check all that apply): Water Issue Vehicle Issues Illegal Dumping Open /Outdoor Storage Hazardous Substances Vegetative Disturbance Sewage Grading Other Specific description of violation: Location/Address: Town: Nearest Cross Street: IF KNOWN Property Owner: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Vacant Property: yes no Business / Residential Property: yes no Violator's name and contact, if known: Date Issue Began: Prior Complaints: 1 2 THE FOLLOWING INFORMATION IS OPTIONAL Your Name: Phone Number:  Enter a valid phone number. Example: 123-456-7890 Mailing Address: Town / Zip: Would you like to receive email confirmation: (if yes, you must enter email address below) yes no Emaill Address: (example: name@provider.com)