Smoke Management Program Complaint Form

The Oregon Department of Agriculture (ODA) values your concerns. For more information, call (503) 986-4701.

Select one: *
Field burning Propane flaming Stack burning General air quality Ag burning Slash burning
Check all that apply:
Observed smoke (not in your immediate vicinity) Observed smoke (in your immediate vicinity Object to practice of field burning Concerned about fire safety
Date reported to ODA * / MM / DD YYYY
Time reported to ODA * : HH MM AM/PM
Date observed * / MM / DD YYYY
Time observed * : HH MM AM/PM
Location *
Are you experiencing smoke now? *
Yes No
Description: *
Your name * First Last
Your phone number * - ### - ### ####
Your address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Want a reply? *
Phone call No reply needed