
				Pat Quinn, Governor

Agency Links

Info Centers

To report
environmental
emergencies
only, call the
Illinois Emergency
Management Agency
800-782-7860
217-782-7860
(24 hrs/day)

Citizen Pollution Complaint

Citizen Pollution Complaint Form

If you are reporting an environmental emergency, please also contact the Illinois Emergency Management Agency at 1-800-782-7860.

This is an electronic form you can use to send Illinois EPA a complaint about an environmental pollution problem. If you would like to register your complaint with an Illinois EPA representative, please call the Illinois EPA helpline at 1-888-372-1996.

You may submit this form anonymously. However, if you provide us with information on how to reach you, Illinois EPA can keep you updated on the investigation into the complaint. In addition, we may need additional information from you in order to conduct an adequate investigation.

Please note that your local/county health department (to Illinois Department of Public Health) may have ordinances/regulations which address: asbestos, septic tanks, private wells and lead paint.

Your Contact Information
Your Name
Street Address
City
County
State
Zip Code
Home Phone (with area code)
Work Phone (with area code)
Cell Phone (with area code)
Email Address
Whom do you believe to be responsible for the problem?
Owner/Company Name
Street Address
City (Nearest city or town if known)
County
Zip Code
I don't know

Nature of the Complaint

	Please check all that apply
	Air (dust/particulates, open burning, and industrial emissions)
	Land (open dumping, hazardous waste, landfill)
	Water (stream/lake pollution, illegal discharge into waterways)
	Public Drinking Water (issues affecting quality or quantity of drinking water)
	Agricultural Problems (odors, mismanagement of animal manure, water, ammonia, and pesticides)
	Other (Please specify)
	Noise Pollution (Please note: Illinois EPA does not regulate noise pollution. View more information about noise pollution.)

Briefly describe the problem. Please provide as much detail as possible regarding the description of the event and its location. Please indicate any evidence or documentation (i.e., photos, logs, etc.) of pollution that you will be able to provide.

If you remember the specific times when the problem occurred, please list the time of day and date:

Has the problem affected your health?
No Yes Don't Know

Have you consulted a doctor?
No Yes

Has the problem damaged your property?
No Yes (If so, please describe how)

Have you ever worked for the suspected source?
No Yes

Have you ever filed a claim against the responsible party?
No Yes

Have you contacted the source and complained?
No Yes (If so, please describe the outcome)

Are you willing to testify under oath at an enforcement hearing?
No Yes

Unless you consent to its release, Illinois EPA will regard your identity within the complaint form as exempt from disclosure under the Freedom of Information Act and regulations. However, your identity may be discovered if there is any lawsuit about the facility that is the subject of your complaint.

Required: Do you consent to Illinois EPA disclosing your identity as a complaining party?
No Yes

Thank you for your help in protecting Illinois' environment!

Please submit additional information to:

Illinois Environmental Protection Agency
Office of Community Relations
1021 North Grand Ave. East
Springfield, IL 62794-9276