Form: Complaint Form for Smoking Vehicles

This page updated July 21, 2008

Please fill in the fields below to submit a Smoking Vehicle Complaint. Required fields contain an asterisk:*
Information to Route Complaint
Your City:
Your Zip:
Your Area Code:
Observation Information
Vehicle Observed On:
*Date: / (month) (day) (year)		*Approximate Time: : (hour) (minute) (am/pm)
*Location/Direction:
Nearest Cross Street:
City (Vehicle Observed Smoking):
Vehicle Information:
*Vehicle Type: LDT = Pickup/SUV HDT = Diesel Commercial Truck
*License Plate:
Additional Comments: (for example, list vehicle company info, unit#,...etc.)


The owner of the vehicle will be sent a courtesy letter. Thank you!