Syringe Litter Report Form
This form is designed to help identify areas of syringe litter so we may better service communities in clean up efforts. If you see syringe litter please fill out this form and a syringe service provider will work to remove it. This form can be submitted anonymously. However, having your contact information may be helpful if we need additional information about the location.

If you have any questions please reach out to syringeexchange@utah.gov.
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Name
Email
Location of syringe litter. Please be specific regarding the address and the area where the litter is located on the property. *
Please describe the syringe litter. (Example: number of syringes, container of the litter, drug injection equipment) *
Is syringe litter a recurring issue at this location? *
Any other comments:
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