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2. Your Name:*
4. Your Address:*

6. May we contact you if we have questions about the information on this form? If so, please supply your email address and/or phone number:

8. Email:
9. Would you like to be contacted?

   1. Yes
11. Phone Number:
13. Address or cross-streets where you noticed the odor:
15. When did you notice the odor:*
    When did you notice the odor:

    When did you notice the odor:
16. Intensity:*
    -- Select One --WEAK - Barely able to smell itMILD - Odors were present but not overwhelmingMODERATE- Being outdoors was possible but limited activitiesSTRONG - Ceased outdoor activity due to smellVERY STRONG - Odor caused nausea
18. How would you describe the odor:*
    -- Select One --Fragrant/Fruity/SweetPungent/RancidPutrid/Dead AnimalFecal/SewerFishy/AmmoniaEarthy/Musty/MoldyPine/LemonChemical/SolventMedicinal/DisinfectantSulfur/Cabbage/Garlic
19. Duration of Odor:*
    -- Select One --BRIEFLY - About an hour or twoREPEATEDLY - Odor comes and goes daily/weekly/monthlyCONTINUOUSLY - Odor is present daily
21. 
23. Wind Speed (If Known):
24. Wind Direction (If Known):
26. Upload photo or video file:

    Only JPG, PNG, and MP4 files are supported, and the file size limit is 5 MB. If you attach an unsupported file, the system will NOT include it with your submission.

    If your photo or video is larger than 5 MB or is not one of the supported file types, you can send them to nerickson@tfid.org 

28. Any other useful information to help determine source of odor:
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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