Open Burning Complaint Form

To report an open burning complaint, complete the following form:

Required fields *

Complaint Form Exact Street address where fire is located:*

Name of person responsible for fire (if known):

Location of fire on property
(e.g. in barrel behind old shed at back of property):*

Is this a recurring problem:*

No Yes

Description of the problem:

Please provide your name, address, and a way to contact you in case we need more information and to inform you of the results of our investigation. This information is optional unless you are making a complaint based on a nuisance.

Name:

Address:

Telephone:

Email Address

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Office of Environmental Assistance and Protection

Fifth Floor
Forsyth County Government Center
201 North Chestnut Street
Winston-Salem, NC 27101
Phone: 336 703 2440 Fax: 336 727 2777