¿Por qué nosotros no? Acción Ciudadana por la Salud y el cambio de la Ley Española de Tabaco

Formulario de Denuncia

If you wish to make a complaint about someone breaking the smoke-free law that went into effect on January 2, 2011, fill out this form:

Instructions:

• - Fill out all the obligatory fields of the form.
• - According to your location, you can make the claim where you want to present it (local or regional)
• - Print 2 copies of the claim and keep one of them with a stamp on it when you turn it in to the address found on the form.

Remember that claims will be handled anonymously and the person or business you’re filing the claim against will never know the person who turned them in.

Datos Personales

D.N.I. / N.I.E. (*)
Name (*)
Last names (*)
Address
Province ... A CoruñaAlavaAlbaceteAlicanteAlmeríaAsturiasAvilaBadajozBalearesBarcelonaBurgosCáceresCádizCantabriaCastellónCeutaCiudad RealCórdobaCuencaGironaGranadaGuadalajaraGuipuzcoaHuelvaHuescaJaénLa RiojaLas PalmasLeónLleidaLugoMadridMálagaMelillaMurciaNavarraOurensePalenciaPontevedraSalamancaSegoviaSevillaSoriaTarragonaTenerifeTeruelToledoValenciaValladolidVizcayaZamoraZaragoza
City

Postal code
Phone number (**)
Email (**)

Information of the person or place to file the complaint:

Place or person (*)
Date (*)
Address (*)
Province (*) ... A CoruñaAlavaAlbaceteAlicanteAlmeríaAsturiasAvilaBadajozBalearesBarcelonaBurgosCáceresCádizCantabriaCastellónCeutaCiudad RealCórdobaCuencaGironaGranadaGuadalajaraGuipuzcoaHuelvaHuescaJaénLa RiojaLas PalmasLeónLleidaLugoMadridMálagaMelillaMurciaNavarraOurensePalenciaPontevedraSalamancaSegoviaSevillaSoriaTarragonaTenerifeTeruelToledoValenciaValladolidVizcayaZamoraZaragoza
City (*)

Agency (*)

Postal code (*)

NONCOMPLIANT WITH THE SMOKE-FREE LAW BECAUSE:

Explanation (*)


Observations
security code (*)


I accept the privacy policy. (*)

(*) Mandatory field

(**) At least one field is obligatory

Privacy policy: The data given will be treated with absolute confidentiality. This information can be used for the collection of statistics about compliance with the new law, and also to insist upon the importance of the enforcement of this law, but never using the personal data, which will be used according to the LOPD (Data Protection Law).