Violation Details

Violation Details
Information about the suspected violation

Please provide as much information as you can in the form below. Asterisks (*) indicate required fields. If you do not know the name or address of the alleged violator, please enter "Unknown."
Suspected violator's name *
Suspected violator's address *
Suspected violator's city *
Suspected violator's state *
Suspected violator's zip code *
Date of incident

Month Day Year
Date
Your contact information

You are not required to provide your contact information in order for ADEC to review your tip or complaint. However, if you do not provide contact information, ADEC may be unable to contact you for additional information that may be needed to determine whether or not an investigation is warranted. If you do provide contact information, this information may be used to initiate follow-up communications with you and may be shared by ADEC with appropriate administrative, law enforcement, and judicial entities engaged in investigating or adjudicating the tip or complaint.
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City State

Zip Code
Violation information

Please tell us how you would characterize the suspected violation.
Is the suspected violation still occurring?

Yes No
Have you already notified the ADEC?

Yes No
Department contact (if known)
The violation involves (check one) *

Air Quality Alaska Pollutant Discharge Elimination System (APDES) Cruise Ship Drinking Water Food Safety and Sanitation Mining/Construction/Storm Water Oil or Hazardous Substance Pesticides Septic Solid Waste Waste Water Discharge
I would characterize the suspected violation as (check one) *

Accidental Intentional Negligent Unknown
I would characterize the suspected violation as (check one) *

Release Spill Spray Fill Falsified Sanitation Other
I would characterize the suspected violation as (check all that apply) *

Land Water Air Worker Food Documents
I would characterize the suspected violation as (check one) *

Individual Company Government / Military Unknown
Please describe the suspected violation *
Specific driving/walking/boating directions (from nearest intersection, main road, waterway or supply navigational coordinates, if necessary)
I understand that I am providing the information in this tip or complaint to the Alaska Department of Environmental Conservation, a state agency with the authority to investigate and seek penalties for certain violations of law. I understand that any information I provide in this tip or complaint must be true and accurate to the best of my knowledge. I also understand that ADEC may review any information provided in this tip or complaint to determine whether or not an investigation into the matter is warranted. *

Yes
I'm not a robot *
Should be Empty:

Violation Details

Information about the suspected violation

Your contact information

Violation information