Illicit Discharges Form

THANK YOU IN ADVANCE FOR BEING A CONCERNED CITIZEN OF OKALOOSA COUNTY AND REPORTING ANY ILLICIT DISCHARGES IN THE COUNTY.

PLEASE FILL OUT THE FOLLOWING FORM AND CLICK SUBMIT. NOTE ALL TEXT BOXES ARE REQUIRED.

 

Name of Person Reporting Illicit Discharges
Enter Your Phone Number
Description of Discharge
Location Of Discharge(Please Be Specific)
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.