Environmental Complaint Report

Vermont Agency of Agriculture, Food and Markets
Agricultural Resource Management Division
ATTN: David Huber
116 State Street
Montpelier, VT 05620-2901

Please complete this form and submit it, and/or use it as a guide to call us at 802-461-7160, or mail a paper version of the form to the above address. Whichever way you choose to report, it is important that you supply us with all the known facts. Doing so allows us to respond in the most appropriate manner to minimize any harm to human health or the environment and, when appropriate, take enforcement actions against those responsible.

To submit a Complaint Report, please complete the following: ( * = required field )

+++++ If you don’t know the exact date and time, please approximate to the best of your ability. +++++
Date of Violation
:
+++++ If you wish to report anonymously, do NOT fill out your name below. ++++++
+++++ To get a copy of your completed form e-mailed to you please enter your e-mail address below +++++