3. 

5. SB 1383 Violation Complaint Form

7. Please use this form to submit an alleged violation of the State of California Senate Bill (SB) 1383. Only complete this form if the violation has occurred in the City of Laguna Hills. Once submitted, the City will review your submission and commence the investigation. This form will be submitted anonymously and you will not be disclosed to the violator. If you would like the City to contact you on the status of the investigation, you may include your contact information on the bottom section of this form. Once you have completed the form, please press the “Submit” button.

9. Identity of the Alleged Violator*
11. Address1
13. Address2
15. City
16. State
17. Zip
19. Alleged Violation. Select at least one option and/or indicate "Other" if applicable*

    1. Failure to provide recycling service
    2. Failure to provide organics service
    3. Improper sorting/disposal
    4. Other (Describe in field below if checked)
21. Alleged Violation Description

    Please describe, in detail, the alleged violation, including city location(s) and all other relevant fact known to the complainant.

23. Identity of any witnesses (if known).

    Include name, phone, and email for anyone applicable.

25. First Name
26. Last Name
28. Phone
29. Email
31. Please upload any images or files as evidence to support the violation.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field