Colorado Department of Public Health and Environment
Radon Complaint Form

Date (mm/dd/yyyy):
Person filing complaint
First Name:
Last Name:
Property Address:
City:
State:
Zip:
Phone (xxx-xxx-xxxx):
E-mail Address:
Would you like to remain confidential?
DISCLAIMER: The Colorado Department of Public Health and Environment will keep your personal information confidential unless otherwise ordered by a court or District Attorney to release such records.