To report an Air Quality or Dust Control Issue within the Town of Queen Creek, please fill out the form in its entirety below. 

* For fire-related concerns, please call 911.

Name of Business or Establishment (If Applicable)

Name of Business or Establishment (If Applicable)

Phone Number

 *

Phone Number

Email

Email

Address (If Known)

Address (If Known)

City

City

State

State

Zip Code

Zip Code

Major East/West Street or Road

 *

Major East/West Street or Road

Major North/South Street or Road

 *

Major North/South Street or Road

Corner of Intersection

Corner of Intersection(Select an Answer) NW NE SW SE

City

 *

City

Date & Time of Occurrence

 *

Date & Time of Occurrence

Description

 *

Description

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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