Complaint Form

For smoking vehicles, call 800-END-SMOG, text #SMOG, or visit www.arb.ca.gov/enf/complaints/smoke.htm

Reporting complete and accurate information will assist in the investigation and help the District in resolving the issue.

Your Name *

Your Address

Street Address

Street Address Line 2

City

Email Address *

example@example.com

Phone

Date Submitted *

Date

Would you like to remain confidential? *

Yes No

Were you referred to us by another agency? *

Yes No

Agency Referred By

Agency Contact

Phone

Location of Issue *

Street Address

Street Address Line 2

City

Date of Observation *

Date

Time of Observation *

Hour Minutes

AM/PM Option

Has this issued occurred before?

Yes No

Please describe the issue in detail, including visuals, odors, length of observation, etc.

0/3000

File Upload

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Include any photos or documents that you feel would help to substantiate the complaint.

Please verify that you are human *

Yolo-Solano Air Quality Management District