To report a hazard or nuisance within Sonoma County, please complete this form. You will be contacted by the Department of Health Services following an investigation of the issue.

If you have any questions or need immediate assistance, please call (707) 565-6565.

Required fields are indicated by an asterisk (*).

Your Information
Name:	*
Address:	Unit:
City:	State: Zip:
Your telephone:	*
Your email:	*
Hazard or nuisance information
Business name:
Site address:	City:
Nearest cross street:
Owner's name (if known):
What time did it occur?
Check all that apply :	Body Art (Tattoo)	Medical Waste	Solid Waste/Garbage
	Dairy	Ocean Water Sewage Spill	Stormwater Discharge
	Food Facility	Rats	Swimming Pool
	Freshwater Recreation	Septage Haulers/Chemical Toilets	Waste Tires
	Landfill/Compost Odors	Sewage Spill	Other (describe below)
Description of the hazard or nuisance