Complaint Form for Smoking Vehicles

This page last reviewed January 5, 2016

ED-187ols    

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, you may list vehicle company info, unit #, etc.)


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