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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.
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