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2. This form may be submitted to report violations of The New Braunfels Smoking ordinance. Complaints will be processed and investigated based upon the information you provide us. You may remain anonymous if you wish; however, leaving a name and contact information will enable us to contact you if we need additional information to respond to your complaint. You may also report smoking violations at 830-221-4070.
6. Name of Business*
8. Type of Business
   -- Select One --BarRestaurantPrivate ClubChurchHospitalBusiness OfficeSchool/Child CareCity BuildingsRetail Stores
10. Address or location of business*
13. Date and time of violation*
    Date and time of violation

    Date and time of violation
15. Select the type of violations observed*

    1. Customers smoking inside business
    2. Employees smoking inside business
    3. "NO SMOKING" signs not posted or present at business
    4. Smoking observed within 5 feet of entrances or operable windows of business, (not including bars and private clubs)
    5. Business owner/operator making no attmept to stop patrons from smoking
    6. Employer failing to provide a smoke free workplace for employees
    7. Other
17. If other please describe
19. Provide details on reported violation*
23. You may remain anonymous; however, by providing your name, and contact information below will allow us to contact you if additional information is needed to respond to your complaint.
25. First Name
26. Last Name
28. Daytime Phone
29. Evening Phone
30. Email Address
Leave This Blank:


32. Submit

* indicates a required field