Form Center

Environmental Services Complaint Form

2. Complaint Line Phone Number: 602-506-6616

4. After Hours Non-Emergencies: Please file online complaint using form below or call Complaint Line during normal business hours (Monday - Friday 8 a.m. - 5 p.m.)

6. Walk-in Complaints:
   Office Locations

10. Complaint/Violation Information

12. Name

14. Address

15. City

17. Major East / West

18. Major North / South

22. Type of Complaint

    1. Violation
    2. Foodborne Illness

    1. Mosquito / Vector
    2. Illegal Dumping

    1. Other

24. Violation / Illness Date and Time
    Violation / Illness Date and Time

    Violation / Illness Date and Time

26. Description of Complaint

28. Upload any supporting documentation.

    Pictures, videos, documents, etc.

29. Upload Supporting Documentation.

    Pictures, videos, documents, etc.

31. Upload any supporting documentation.

    Pictures, videos, documents, etc.

32. Upload Supporting Documentation

    Pictures, videos, documents, etc.

36. Complainant Information

38. Name

40. Address

42. City

43. State

44. Zipcode

46. Phone Number

47. Email Address

51. Would you like to be contacted?

    1. Yes

52. Spanish Speaking Inspector Requested?

    1. Yes

    1. No

54. Disclaimer
    Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

    Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field