Online pollution reporting form

Online pollution reporting form
The personal information you may have provided is collected and used to consider and respond to your enquiry. Your information will be handled in line with the Privacy and Responsible Information Sharing Act 2024 (WA) and the Environment Watch Collection notice.
Complainant details
Name

First nameLast name
Organisation (if applicable)
Address

Street address

Street Address Line 2

SuburbState / 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

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
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/Video

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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Complainant details