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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 IssueVehicle IssuesIllegal Dumping
Open /Outdoor StorageHazardous SubstancesVegetative Disturbance
SewageGradingOther
Specific description of violation:
Location/Address:
Town:
Nearest Cross Street:
IF KNOWN
Property Owner:
Phone Number:
 
Vacant Property:
yesno
Business / Residential Property:
yesno
Violator's name and contact, if known:
Date Issue Began:
Prior Complaints:
12
THE FOLLOWING INFORMATION IS OPTIONAL
Your Name:
Phone Number:
 
Mailing Address:
Town / Zip:
Would you like to receive email confirmation: (if yes, you must enter email address below)
yesno
Emaill Address: (example: name@provider.com)