Non-Compliance Reporting Form
To report a violation of the UCSF tobacco free policies, please use this online form.
Privacy disclaimer: All information submitted in the non-compliance report will be used to further enhance compliance of a tobacco free environment at UCSF. When creating a report, you have the option to include your contact information to be contacted for follow-up or to complete the form anonymously. When reporting smokers, do not submit identifying information, including names, regarding patients or students.