Meth-Affected Properties Reporting Form

Property information

Attention: Only law enforcement or certified consultants can submit this form. If you suspect a property has been used as a meth lab, call the police.

Property street address *

Apt/unit/suite

City *

County *

State *

Zip

Property owner *

Owner type *

Individual

Company

Government entity

Residential property type *

Single family residence, including manufactured home, mobile home, condominium, or townhome.

Rental property including apartment.

Short-term residence, including motel or hotel.

Report information

Discovery date * +

First name of person submitting the form *

Last name of person submitting the form *

Affiliation of person submitting this report *

Law enforcement.

Consultant certified under Section 25-18.5-106, C.R.S.

Please enter your certification number *

Please provide your Law Enforcement agency *

Type of discovery (Select all that apply) *

Manufacturing chemicals, equipment or supplies observed.

Evidence of meth use.

Sample results.

Email address *

Confirm email *

Phone *

Documentation

Please select the documentation type *

Law enforcement report.

Sample results.

Photos or other documentation.

Please upload your documentation. You may upload as many as ten documents. *

For the purposes of this form, the Colorado Department of Public Health and Environment accepts your typed name and date as an electronic signature equivalent to your valid signature on a paper copy of the form. As such, this electronically completed form subjects the signatory to the same responsibilities as a hand-signed form. Per Section 18-8-306, C.R.S., it is a felony to submit false information to a state official.

Applicant's signature *

Submittal date * +