Environmental Complaint Form

* Nature of Complaint (Please check only one per form):
Solid Waste Restaurant/Food IIlegal Burning Drinking Water Tourist Facility Burial Site Swimming Pool/Hot Tub  
* Description of Complaint (be as specific as possible, including describing the whereabouts on the property for solid waste. PLEASE NOTE: Solid waste complaints are a matter of open public record per Josephine County Resolution 93-106):
* Name of Facility (if applicable): 
* Address/Location of Facility (must be exact address): 
* Would you like a follow up response to your complaint?Yes No 
* City/Zip Code: 
* If yes, please provide name, telephone number or email. If no, please type in NA in the following box: 
Thank you for taking the time to notify us of your concern.  We will handle the problem in a timely manner.  Please call our department at 474-5338 if this is an emergency.  Please note your complaint will remain anonymous upon submittal using this form.  All complaints submitted via this website cannot be traced as well and email addresses are not recorded after submitting this form electronically, your privacy is ensured. 
If you have questions regarding the site, please contact the webmaster.
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