Complaint Form

ORCAA accepts complaints related to smoke, open fire, woodstoves, fugitive dust, odors, and other emissions that occur in Clallam, Grays Harbor, Jefferson, Mason, Pacific, and Thurston Counties of Washington state. Anonymous complaints are not accepted.

Note: Complaints filed using this form may not be read until the next business day. For life-threatening emergencies, please call 9-1-1.
*These fields are required to submit an online complaint.

*First Name

*Last Name

*Email:

*Verify Email:

*Address

Address 2

*City

*State:

*ZIP Code

Information about Suspected Pollution Source (please include as much detail as possible).

Source Name

Source Address

Source Address 2

City

State:

ZIP Code

*Urgency:

*Response Required:

*Describe the specific problem in detail

*Types of Problems (check all that apply)

	Smoke (woodstove)
	Smoke (outdoor burning)
	Odor
	Dust
	Other:

Have you contacted ORCAA previously about THIS problem?

Yes

*When did this problem last occur?

Verify Authentication Code:

July 3, 2009

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