NWDA Odor Complaint Form
WHEN YOU SMELL IT, REPORT IT !
The single most important action is that citizens complain to DEQ when they smell odors in the neighborhood.

Please report any unusual odors using the following form.
If you have multiple reports, submit individual odor reports for each case.

All complaints are forwarded to DEQ and a copy is retained at NWDA.

Questions marked with an asterisk * are required.

There are 18 questions in this survey.
NWDA Odor Complaint
*1. Address where odor was noticed

HelpPlease indicate a specific street address if possible; otherwise enter an intersection, description of location, etc.
*

Format: yyyy-mm-dd

*3. Time Odor was Noticed - Hour:Minute
Choose one of the following answers
*4. Time Odor was Noticed - AM or PM
Choose one of the following answers
*5. Duration of Odor
Choose one of the following answers
6. Suspected Odor Source

HelpPlease Note - We strongly encourage you to specify a suspected odor source (business, activity, etc.) in order to assist DEQ in processing complaints.
*7. Priority
Choose one of the following answers
*8. Odor Type
Choose one of the following answers
*9. Intensity
Choose one of the following answers
*10. Effects
Choose one of the following answers
11. Additional Comments

   Your Contact Information   


*12. Contact Name

13. Contact Street Address

*14. Contact City

*15. Contact State
Choose one of the following answers
*16. Contact Zip Code

Only numbers may be entered in this field

17. Contact Phone Number

Only numbers may be entered in this field

18. Contact Email Address


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