Bureau
of
Sanitation

Feedback Form

Have a problem or complaint about the Bureau of Sanitation... if so, we want to hear from you.
Please use this form to submit a complaint to the Bureau about anything that we may be able to remedy. It can be about Bureau employees, services, etc.
We take all complaints seriously and will investigate.
OR...
Would you like to send a suggestion or compliment to the Bureau of Sanitation... if so, we want to hear from you.
Please use this form to submit it to the Bureau about anything that we do. It can be about Bureau employees, services, etc.

You can also let the webmaster know what you think about this site... use our special
Site Feedback Form to send your suggestion for improvement to the Bureau's Web Site.

Do NOT use this form for Sewer Service Charge Adjustment Request.
For SCC Adjustment click one of the following: Residential(HTML) or Residential(PDF)* or Commercial

To better serve your needs, please complete Steps 1 through 6 below:

Step 1
Contact Information: Entries preceded by an asterisk (*) are required for proper processing.

First Name: *

Last Name: *

Organization:

E-mail Address: *

Mailing Address:

City:

Zip Code:

Phone:

FAX Number:

Step 2
Type of Feedback (please select one of the following):
Complaint
Suggestions
Compliment
Request

Step 3
Whom/What does this concern (please select one of the following):
Services
Employee
Other
If Other, please specify:

Step 4
Send to a Recipient:
Do NOT use this form for Sewer Service Charge Adjustment Request.
For SSC Adjustment click one of the following: Residential(PDF)* or Commercial
Not Sure - want Bureau Webmaster to forward
Recycling and Refuse Collection (Residential)
Sewer Service Charges (general information only)
Stormwater Management Division (Stormwater Program)
Treatment Plants
Wastewater Collection (Sewer and Catch Basin Cleaning, etc.)
Solid Resources Citywide Recycling (Business Recycling, HHW/Used Oil, Organics, Composting Workshops)
Solid Resources Engineering and Construction
Industrial Waste Management Program

Step 5
Briefly explain the situation(please be specific):
Step 6
Click submit to send the form, or click clear to erase all entries.

If you cannot use this form, send e-mail to Sanitation's webmaster at:
san.webmaster@lacity.org

Revised 06/20/2006

* PDF documents are in Acrobat PDF file format. If you do not have the Acrobat Reader, you can download the free reader at Adobe Systems site. This site will provide the program and instructions for installation on your computer. The current version of Adobe Reader allows you to view and/or print documents within Netscape or Microsoft Explorer or to view them using a stand-alone version of the reader.

Sanitation HomePage City of LA HomePage

First Name:	*
Last Name:	*
Organization:
E-mail Address:	*
Mailing Address:
City:
Zip Code:
Phone:
FAX Number:

BureauofSanitation

Feedback Form

Revised 06/20/2006

Bureau
of
Sanitation