Submit Smoke Free Property Registry Information

Fill out the following form to submit your smoke free property to the websiteĀ property registry.

IF YOU ARE SUBMITTING MORE THAN FOUR PROPERTIES DO NOT COMPLETE THIS ONLINE FORM, PLEASE EMAIL THE PROPERTY INFORMATION ALONG WITH THE INDIVIDUAL ADDRESSES TO smokefreehomes@idph.iowa.gov

Property Information
Enter one street address. If you have multiple properties, submit the form for each property.

Submit Lease

Use this link to submit a PDF copy of your lease by email. Please fill in the information as shown in the email. Remember to attach your lease file.

Submit Property Lease

If the email worked, skip to the next section.

Help Submitting Lease

Business Office Information

Printed from the website on October 28, 2020 at 8:21pm.