Environmental Complaint Report | Agency of Agriculture Food & Markets

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 )

Name and address of suspected violator (s): *

Town where the suspected violation occurred *

Directions to subject site *

Type of suspected Violation *

Description of suspected violation *

+++++ If you don’t know the exact date and time, please approximate to the best of your ability. +++++

Date of suspected violation *

Year

Month

Day

Date of Violation

Time of suspected violation *

Hour

Minute

+++++ In order to receive confirmation that your complaint was submitted to the Agency of Agriculture, Food & Markets’ Enforcement Section, and to get a copy of your completed form, please enter your e-mail address below. +++++

Your name

Your mailing address

Your phone number

Your Email address

Best time to call you

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