Storm Drain Discharge Complaint Form

If you have witnessed anything other than rain water entering a storm drain, please use this online form to submit a report to San José’s Watershed Protection Division. The information that you provide will help us to maintain the health of our creeks and bay.

Confidentiality Policy

It is the policy of the City of San José– Environmental Services Department to keep the identity of complaining parties confidential. We ask for your contact information in the online form in order to follow up with you should we have questions regarding the incident. If you prefer to submit a complaint anonymously, please call 945-3000.

Visit Frequently Asked Questions for answers and general information about storm drains and water pollution.

NOTE: If a hazardous substance is threatening human health or entering the storm drain, call 911 immediately.

(Fields marked with * are required)

* Incident Date: Example: mm/dd/yyyy
* Incident Time: Example: hh:mm
	* Time of Day a.m. p.m.
* Incident Address: Example: 170 W San Carlos St
* Nearest Cross Street:
* Location is a:
Business Name (if applicable):
Additional Location Information: Example: 50 feet south of intersection
* Complaint: Please describe the incident in detail, including a description of what is entering the storm drain. Include the name of the responsible party, if known. Include make, model, color and license plate of vehicle, if applicable.
* Where did you hear about us?
Where did you hear about us? Please provide additional information if the previous choices do not apply.
	Would you like Watershed Protection to follow up with you regarding this complaint after an inspector has visited the site? Yes No
* Your Name:
* Your Email:
* Daytime Phone: Example: 408-535-8550
Sometimes our inspectors need a bit more information about storm drain complaints, so we may follow up with you via email or phone. Watershed Protection would like to send you a follow-up customer satisfaction survey, to help us improve our service. If you would like to receive this survey, please enter your full address:
Your Street Address: Example: 170 W San Carlos St
Your City:
Your Zip Code:
To submit this information to the City of San José’s Watershed Protection Division, click on the ‘SEND COMPLAINT’ button below. YOU MUST CLICK ‘SEND COMPLAINT’, OR YOUR INFORMATION WILL BE LOST.

Watershed Protection

Administrative Offices:
170 W. San Carlos Street
San José, CA 95113

Phone: (408) 945-3000

	Last Modified Date: 2/26/2009

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