Colorado Environmental Spills or Releases Reporting Form

The Office of Emergency Preparedness and Response within the Colorado Department of Public Health and Environment receives information about statewide incidents which impact the health of Coloradans and our environment. CDPHE develops incident reports and distributes them to state and local authorities to provide awareness for the appropriate mitigation and remediation of the impacted environment, as well as provide public health assistance as needed. 

This form should be completed for any type of petroleum product or hazardous materials/waste spill or release or to satisfy any federal or state reporting requirements. If this is an immediate emergency, call 911. 

Other reportable issues include:Greater than 25 gallons of any petroleum product released to ground only

  • Releases to waterways (i.e. storm sewer, creeks, river, lakes, dry waterways)

  • Mercury spills and all asbestos releases that meet the reportable quantity

  • Sanitary sewer releases

  • Deliberate releases (i.e. dumping, burying, etc.)

  • Permit exceedances

If you have a reportable issue, continue with the form below and complete with as much information as possible.

If you have an incident to report that does not meet these qualifications, you may want to call your local public health agency. Building issues with mold or pests, or other habitability issues, as well as any restaurant concerns would be handled by your local public health agency.


In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen
                                    REPORTING PARTY INFORMATION
Reporting party's organization
Reporting party's first name
Reporting party's last name 
Reporting party's phone number
Reporting party's email address
Is the reporting party the same as the responsible party? *
Weiter
Alle Eingaben löschen
Gib niemals Passwörter über Google Formulare weiter.
Dieses Formular wurde bei State.co.us Executive Branch erstellt.

Sieht dieses Formular verdächtig aus? Bericht