Complaint Form

Complaint Feedback Form

Their Information - Who is causing the violation and where is it occurring?
Do NOT put your information here!

Responsible Party Name: * (Put Unknown if you do not know)
Address: * (or Parcel # if no address)
City: *
Zip: *
Major Cross Streets: (Near Violation Location)
Description: (Please give details of complaint)
Location Description: (Where on property?)
Is The Property Accessible? (Gated, Fenced, Dogs, Posted No Trespassing):
Date & Time of Occurrence:
You may submit photos electronically only if you provide your contact information. If you choose to be anonymous, you can only submit evidence by mail (no return address) or in person. To mail photo(s), send them to PDEQ, 33 N. Stone Ave., Tucson AZ 85701, attention Complaint Coordinator. To deliver photos in person, please come to PDEQ’s office located in the Bank of America Building at 33 N. Stone Ave., Tucson, 7th Floor between 8am and 5pm, Monday through Friday. If you wish to be contacted or want to submit electronic evidence, please check the box below and provide your contact information including your email address and telephone number. A PDEQ representative will contact you and provide an email address where you can send the photo(s). IMPORTANT INFORMATION: Under State Law: By providing your name, address, email address or telephone number to PDEQ, the information becomes part of the public record. If you wish to remain anonymous and not provide contact information, you must use only the top part of this complaint form, or use first class mail or hand delivery of a complaint. This is necessary because PDEQ phone and email records are also public information.

 I want to be contacted and/or submit evidence, please contact me.

Your Information - This is You!

(required if you want a reply - optional if you want to remain anonymous)
(Be advised: all complaints become public record and are subject to dissemination upon request)

 I desire to remain anonymous
Complainant:
(your name)  
Email Address:
Address:Phone #1:
 City:Phone #2:
Zip:Phone #3:

Referred from Page: 



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Department of Environmental Quality

33 N. Stone Ave., Suite 700
Tucson, AZ 85701

Phone: (520) 724-7400
Fax: (520) 838-7432


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