Environmental Complaint Form

To better assist DEP in the investigation of your complaint, please provide your name and contact information should further information be necessary. Please note, your information is considered confidential and will not be shared with any party outside DEP Note: Fields marked with an asterisk * are required

Your Information

Yes No

Yes No

Complaint Information

* Please use the drop-down menu to select a County from the list *

Do you know who is responsible? *

Responsible Party

Problem Description - Please be as specific as possible and include stream names, road names and other information that you think would be helpful