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Submit Complaints

Complete this form to submit a complaint regarding a potential violation of the Smoke-free Illinois Act. Information marked with an asterisk (*) must be completed in order for the complaint to be investigated.

Information entered in this complaint form, including your name, will be provided only to authorized enforcement agencies so they have the necessary information to follow-up on complaints. Your name will be kept confidential by these authorized enforcement agencies but, in certain situations in which penalties may be applied, your name may be released to attorneys representing the parties in this matter.

Note: The Smoke-free Illinois Act provides that no individual may be discriminated against in any manner for exercising their rights under this law.
* CHECK THE FOLLOWING BOX TO SHOW THAT YOU UNDERSTAND THE INFORMATION IN THIS COMPLAINT WILL BE RELEASED TO AUTHORIZED ENFORCEMENT AGENCIES.
 
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