Division of Waste Management and Radiation Control Complaint

If you have information on a business or person that is mismanaging their wastes please let us know by filling out this form.
Name of person registering complaint. (NOT REQUIRED, but would be helpful)
Your answer
Phone number of person registering complaint. (NOT REQUIRED but would be helpful )
Your answer
Name of business or person alleged responsible in complaint. *
Your answer
Address including city of business or person alleged responsible in complaint. *
Your answer
A brief summary of the nature of complaint, (i.e. spill, discharge, abandoned drums, waste mismanagement). *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of State of Utah. Report Abuse