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

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone
Date Submitted*

MonthDayYear
Date
Would you like to remain confidential?*

YesNo
Were you referred to us by another agency?*

YesNo
Agency Referred By
Agency Contact
Phone
Location of Issue*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Observation*

MonthDayYear
Date
Time of Observation*

Hour Minutes

AM/PM Option
Has this issued occurred before?

YesNo
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.
Cancelof
Please verify that you are human*
Should be Empty:

Yolo-Solano Air Quality Management District