Report a Violation

Please note:

Complaints are a matter of public record and confidentiality cannot be guaranteed.
Information entered in the complaint form, including your name, will be provided to local law enforcement agencies and Department of Health Services so they have the necessary information to follow-up on complaints.
If you do not want to leave your name and contact information, you can leave your complaint anonymously, but local law enforcement agencies or the Department of Health Services will not be able to contact you if further information is required.

Business Information Name Address City Zip County

Complainant Information Name (optional) Phone (optional) Address (optional)

Smoking Details Smoking Observed
Evidence of Smoking Date of Violation (mm-dd-yyyy) Time of Violation (optional) Comments (optional)