Noise Pollution Complaint Form

Please note that complainant information such as names, phone numbers, and addresses of complaining parties are kept confidential unless subpoenaed by a court of law.

Also, noise complaints using this form should only be for unincorporated areas of the County. This County website can assist if you need to determine if an address is in an unincorporated area. You may also contact the Department of Environmental Health directly at 408-918-3400 during normal business hours (7:30 am - 5:00 pm, Monday through Friday)

Noise Pollution Complaint Form

First Name

Last Name

Street Address

Address Line 2

City

ZIP Code

Email Address

Phone Number

Noise Pollution Source

Street Address

Address Line 2

City

ZIP Code

Please describe the noise in detail (e.g., loud screech, whine, grind, bang, music, etc.):

Please describe the frequency in which the noise is occurring (e.g., sporadically, continuously):

Please detail the dates and times of the occurrences:

Please describe the background noise at your location (e.g., freeway, animals, truck traffic, crickets, etc.) and list anything that you believe could interfere with measuring the primary noise:

Please provide any other information that would assist us in investigating the issue (e.g., a specific pattern of occurrence or schedules that can be replicated during a monitoring event):