Waste Tires Complaint Form

Complainant/Informant information

Date * +

Your name *

Daytime phone number *

Street address

City

State

Zip

Relationship to business/facility

Incident or complaint information

Include as much information as possible.

Business/facility name

Suspect/contact

Street address

City

State

Phone

License plate

State

Vehicle description

Property owner (if known)

Date/time of incident

Location incident observed

Driving directions to location (be specific)

0/300 characters

Nature of Incident or Complaint

Briefly describe the problem. Provide as much detail as possible regarding the description of the incident. Indicatge any evidence or documentation (e.g., photographs, logs, etc.) of the incident that you will be able to provide. Email photographs or other documentation to cdphe.hmwastetires@state.co.us.

Description

0/1100 characters

We will regard your identify within the complaint form as exempt from disclosure under the Colorado Open Records Act (CORA). However, your identity may be discovered if there is any lawsuit.

When you hit Submit, you will be directed to the Waste Tires web page.