Dillsburg, PA · York County
Citizen Complaint Illicit Discharge Reporting Form
Residents use this form to report a suspected illicit discharge, describe its location and conditions, and provide information to assist an investigation.
What this form is
This form collects a complainant’s name and contact phone number, when the discharge was discovered, and details about its location and observed conditions. It also provides space for additional information to assist the investigation and a staff follow-up section. The form asks whether a photo was taken and requests a copy if available.
Who needs it
Residents who want to report a suspected illicit discharge can use this form to describe what they observed and where they found it.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; attach a copy of a photo if one was taken, and no sworn or notarized attachment is specified.
How to submit this form
- 1
Download The Form
Download the Citizen Complaint Illicit Discharge Reporting Form.
- 2
Complete The Complaint
Enter your contact information, discovery details, discharge location, observed conditions, and any additional information.
- 3
Gather A Photo
If a photo was taken, attach a copy to the form.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Dillsburg illicit discharge complaint form for?
- It lets a complainant report a suspected illicit discharge and provide details such as its location, observed water flow, odor, color, and other information for an investigation.
- Do I need a notary for the Dillsburg illicit discharge complaint form?
- No. The form has a signature and date field but no notary block. Attach a copy of a photo if one was taken; no sworn or notarized attachment is specified.
- How do I submit the Dillsburg illicit discharge complaint form?
- The form does not provide submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.