Iowa Smokefree Air Act - Submit Complaint

Call 888-944-2247 or use the form below to submit a complaint.

The form allows you to submit a complaint on a business for potential violation(s) of the Iowa Smokefree Air Act. You are not required to submit your name or contact information. You can leave us your name and contact information in the comments section of the Complaint Form if you would like for us to get back in touch with you.

The Iowa Department of Public Health strongly suggests that you include your name and contact information with a complaint. Although it is possible to submit a complaint anonymously, this may impair the department's ability to immediately address the alleged violation because further investigation may be necessary.

Local law enforcement may investigate complaints about alleged violations of the Smokefree Air Act. The Iowa Department of Public Health, Division of Tobacco Use Prevention & Control may notify the proprietor of the public place or place of employment or coordinate a site visit after receipt of a complaint.

Required fields are indicated with an asterisk (*).

If you are having trouble filling out this form, please call 1-888-944-2247.

NOTE: Complaints should be filed within 10 days of observing potential violation(s), in order to facilitate a timely investigation.

Complaint Form

Identify the Business or Workplace Where the Violation Occurred

Sufficient information, including the name and physical address of the location of the observed violation, must be provided in this step in order for your complaint to be addressed.

Name of the business or workplace *

Type of business or workplace *

Address line 1 *

Address line 2

City *

State *

ZIP code

ZIP +4

Describe the Violation

Date of violation *

format required: mm/dd/yyyy

Time of violation *

Hour:

Minutes:

am or pm: ampm

Description (Check all that apply) *

Smoking in Prohibited Areas
Evidence of Smoking in Prohibited Areas (i.e., ashes, tobacco products, etc.)
Ashtray(s) Present
Smoke Infiltrating Areas Where Prohibited (see note)
Signs Not Posted
Improper Signage
Other (describe below)

Note: Smoke Infiltrating Areas Where Prohibited only applies to Private Clubs, Long Term Care Facilities, Tobacco Retail Stores, and Hotels/Motels

Description other details

Submit a Complaint

Complaint Form

Identify the Business or Workplace Where the Violation Occurred

Describe the Violation

Contact Information

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