Solid Waste/Illegal Dumping Complaint Form Solid Waste/Illegal Dumping Complaint Form Solid Waste Illegal Dumping Complaint Form Witness InformationName First Last Email* Company or Agency, if applicable Home Phone*Work PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Incident InformationIncident Date* MM slash DD slash YYYY Incident Time : Hours Minutes AM PM AM/PM License Plate Number Vehicle Description Incident Location (must be in Clark County) Violator's Description Material Dumped* Other Pertinent InformationCAPTCHACommentsThis field is for validation purposes and should be left unchanged. Updated on: June 5, 2019 B2019-06-05T15:54:10-07:00
