Georgia Smokefree Air Act of 2005 - Complaint/Site Visit Form

Exposure to secondhand smoke is harmful to your health. The Georgia Smokefree Air Act protects the health of the population by prohibiting smoking inside most public areas and outlines specific guidelines for smoking in and around establishments that serve the public. For information on the Georgia Smokefree Air Act:

Please report violation to the Georgia Smokefree Air Act by completing this form.  

Today's Date

Fax Complaint form to: Georgia Department of Public Health, Tobacco Use Prevention Program 404-657-4338.



Type of Business/Location where violation occurred
Date of violation
Time of violation
Description of Violation (Check all that apply)
This question is for testing whether you are a human visitor and to prevent automated spam submissions.