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Public Health
Seattle & King County
401 5th Ave., Suite 1300
Seattle, WA 98104

Phone: 206-296-4600
TTY Relay: 711

Toll-free: 800-325-6165

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Public Records Requests

Instructions to submit a Public Records Request
Second-hand smoke at home

Are you experiencing secondhand smoke exposure at home and would like assistance? Get started by giving us some information. You can fill out as much as you know, and we will follow up:

Your information:
...
 Name:
Phone:
Email:
Building name:
Street address:
Apt/Unit/Suite:
City:
Zip code:

Exposure details:
... Summary of situation:


Where are you exposed to smoke?
Common Areas Inside Unit
Outside Other

If 'Other', please explain:
How is the smoke getting into the unit?

Window or door Shared ventilation
Don't know Other

If 'Other', please explain:
Where is the smoke coming from?
Common areas Outside Other
Inside unit Other unit

If 'Other', please explain:
How many times per week are you being exposed?
<1 1 2 3 4 5 6 7 >7
How is the exposure affecting the enjoyment of your living space?



Resolution details:
...
 What steps have you taken to resolve the problem?
Talked to the person causing the problem
Yes No
Describe the result of this action:

Talked to landlord or property management
Yes No
Describe the result of this action:

Made environmental changes to avoid exposure
Yes No
Describe the result of this action:


Landlord or property manager:
Please supply contact information of your Landlord, Property Manager, or Property Management company.
...
 Name:
Company:
Title:
Street address:
Apt/Unit/Suite:
City:
Zip code:
Phone:
Extension:
Email address:
May we contact your landlord or property manager?
Yes No

Privacy Policy: Public Health does not sell your personal information to 3rd parties nor will you be signed up for any listservs or publications without your permission. Your contact information collected through this webpage is used solely for the purpose of communicating with you regarding the information you submitted above.