Statewide Environmental Incident Report Form (ERTS)

If you see a spill or other environmental problem, we encourage you to report it. The sooner Ecology knows about an incident, the quicker we can act to reduce damages to our environment and protect sensitive natural resources.

Please use this form to report environmental issues in any Washington county.

NOTE: This form has display issues when viewed in Internet Explorer. Please use Edge, Chrome, Firefox or Safari.

Who is reporting?

(About the reporting party)

Your first name

Your last name

Confidential?

If you indicate "Yes" your contact information will not be shared with external agencies.

Reporter type

Your organization name (if any)

Your email

If you provide an email address, you will receive a confirmation email with the information you have provided in this form.

Primary phone number

( ) -

Secondary phone number

( ) -

Your country

Click to change country, if necessary.

Your mailing address

Apartment, suite, P.O. box, etc.

Your city

Your state

Click to change state, if necessary.

Your ZIP code

Where did it happen?

(About the incident location)

Location name

Physical address

Apartment or suite, if applicable

Nearest city

State

Click to change state, if necessary.

ZIP code

Parcel number, if known

Location county *

This field is REQUIRED because it will determine which Ecology regional office receives this report.

Directions

Please provide directions to the location or describe nearby landmarks. You may include a link to the location using online mapping tools, such as Google or Bing.

What happened?

(Details about the incident)

Incident date & time

Now(UTC - 08:00)

Activity

Cause category

Medium category

Source category

Substance category

Substance quantity

Unit of measure

Ecology permit number, if known

Additional incident details

( 1,500 character maximum)

Attach a photo

You may attach a single file, 25MB or smaller, to this report. Use the Additional Details box to explain the photo, if necessary. (Allowed file types: pdf, doc, docx, ppt, pptx, bmp, gif, jpg, jpeg, png, wav, wmv, mov, and avi)

Who might be responsible?

(Responsible party)

Are you self reporting?

First name

Last name

Organization name

Phone number

( ) -

Country of the responsible party

Click to change country, if necessary.

Mailing address

Apartment or suite, if applicable

City

State

Click to change state, if necessary.

ZIP code

Additional information about the potentially responsible party

( 1,500 character maximum)

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