Complaint Form

Yolo-Solano Air Quality Management District

AIR QUALITY COMPLAINT
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 *

Month Day Year
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 *

Month Day Year
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

Include any photos or documents that you feel would help to substantiate the complaint.
Cancel of
Please verify that you are human *
Should be Empty:

Yolo-Solano Air Quality Management District