Online pollution reporting form
Complainant details
Name
*
First name
Last name
Organisation (if applicable)
Address
Street address
Street Address Line 2
Suburb
State / Province
Post code
Phone number
Format: (00) 0000 0000.
Mobile
Format: 0000 000 000.
Email
*
example@example.com
Incident information
Incident details
What happened and what you witnessed
Details of any impacts
On environment and health
Incident date and time
-
Day
-
Month
Year
Date
Time in 24 hour format
Incident location
*
Where did the incident occur?
Identifying landmark
If applicable
Report details
Suspect details
Details of suspected person or company responsible for the pollution
Notes/additional information
Map/Photo/Document
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When uploading your documents please note the max file size is 1GB and we have restrictions on the types of files you can upload. If you are unable to upload your file, please forward to us at environmentwatch@dwer.wa.gov.au
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