Arkansas Department of Health and Human Services
Arkansas Clean Indoor Act - Complaint Form
|
|
You may file a complaint electronically or by mail. To file an electronic complaint please complete the following information and press submit.
To file a compliant by mail, please download and print the PDF version of the complaint form and mail the completed form to: Arkansas DHHS,
Environmental Health Branch, P.O. Box 1437, Slot H-46, Little Rock, AR 72203-1437.
|
Date:
|
|
| Complaint Reported by: |
|
| Complaint Information |
|
|
| *Type of business: |
|
| *Description of violation (check all that apply): |
|
| |
*:
* denotes required field |
|
| Complaints are public information. By submiting a complaint, you may be requird to testify to the viloations witnessed. Please return the completed form to: Arkansas DHHS, Environmental Health Branch, P.O. Box 1437, Slot H-46, Little Rock, AR 72203-1437 or call 1-800-235-0002. |