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WITNESS STATEMENT FORM - ODOURS & EMISSIONS
Complaints and Investigations Section / Community Standards and Neighborhoods Branch / City of Edmonton

Please complete this form if you have experienced odour, emission, smoke, vapour, dust or other airborne matter causing disturbance.

***EACH TIME AN INCIDENT OCCURS, THIS FORM MUST BE COMPLETED IN FULL WITH AS MUCH DETAIL OF THE INCIDENT AND ITS EFFECT ON YOU (THE COMPLAINANT) AS POSSIBLE.***

Completion of this form creates a witness statement for the City of Edmonton Complaints and Investigations Section, to assist in the enforcement of bylaw offences. Your testimony is crucial to the successful prosecution of these offences. Our officers do not experience the odours and emissions as they occur, and instead rely on your statement to issue a municipal violation ticket and prove the offence occurred. To successfully prosecute these tickets, you must be willing to testify in court as a witness if necessary. We cannot guarantee that all complaints will lead to the issuance of violation tickets, but each complaint will be considered by our officers.

If you are not comfortable completing this form with all necessary information, please continue to call 311 to report your complaints. However, this option will not lead to enforcement of a specific offence.

Please note, the answers to this form will be shared with the accused if requested, as required by law. Your contact information will not be shared unless the City is ordered to do so.

Your personal information is collected in accordance with 33(b) of the Freedom of Information and Protection of Privacy (FOIP) Act. Your name and phone number may be used in relation to investigation or prosecution of this bylaw offence or to follow-up with your statement.  This information is protected by the privacy provisions of the Act.  If you have any questions about the collection and use of your personal information, contact the Complaints & Investigations Section General Enforcement Coordinator at Edmonton Tower, 10111 - 104 Avenue NW, Edmonton, AB T5J 0J4 or by phone at 780-496-5214.  


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Email *
Have you submitted a complaint and obtained a file number through 311?   *
If no, please contact 311 via phone (Dial 311), or the online complaint process ( 311.edmonton.ca) and submit a complaint first before proceeding with the submission of this statement.
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Please provide your 311 file number: *
Officer's name that you spoke to:
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