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.

If you have questions, please email .(JavaScript must be enabled to view this email address).