Please complete the form below. We encourage you to report the odor directly to us by calling 712-202-3160 at any time.  If preferred, send us an email at reportanodor@sioux-city.org and include as much of the information from the form below as you can. Thank you.

Your Information (All information is confidential under Section 22.7(3)(8), Code of Iowa)

 *

Your Information (All information is confidential under Section 22.7(3)(8), Code of Iowa)

Your Name

Email

Phone (optional)ext.

Date of Occurance

Location

Time

Details (Ex: Wind Direction, etc.)

Intensity Rating

Intensity Rating

Very Faint

Light

Moderate

Very Strong

What do you think the odor smelled like?

What do you think the odor smelled like?

Ammonia	Sewer/Sewage-Like	Earthy/Moldy/Musty	Decaying
Grass	Wood	Cabbage-Like	Chemical/Solvent
Fishy	Rotten Egg	Manure	Turpentine
Other

We Welcome Any Comments You May Have

We Welcome Any Comments You May Have

Request Follow Up From City Staff?

Request Follow Up From City Staff?

Yes

No

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