Air Quality Monitoring Petition
About this free form template

Fight for Cleaner Air with a Professional Petition Form

Poor air quality affects millions of people every day, leading to respiratory issues, chronic health conditions, and reduced quality of life. If your community is experiencing pollution from industrial sites, traffic congestion, or other sources, this Air Quality Monitoring Petition template gives you a powerful way to collect evidence, gather support, and make your voice heard.

Built with Paperform, this template goes beyond simple signature collection. It enables your community to map pollution sources, document health impacts, and create a comprehensive case for environmental action—all in one professional, branded form.

Track pollution sources and health impacts

This petition form includes location mapping fields that let residents pinpoint where they're experiencing poor air quality, identify suspected pollution sources, and describe specific symptoms they've noticed. By collecting structured data alongside signatures, you build a stronger case backed by real community evidence rather than just names on a list.

Submit directly to environmental agencies

With conditional logic and automated workflows powered by Stepper (stepper.io), you can route completed petitions directly to local environmental quality departments, elected officials, or advocacy groups. Set up automatic email summaries, generate PDF reports of all submissions, or trigger follow-up campaigns as your petition gains momentum—no manual copying and pasting required.

Professional presentation that drives action

Your petition deserves to look as serious as the issue it addresses. Paperform's flexible design tools let you add images of pollution impacts, embed explanatory videos, customize colors to match your campaign branding, and create a mobile-friendly experience that makes it easy for supporters to sign and share on social media.

Built for community organizers and advocacy groups

Whether you're a neighbourhood association, environmental nonprofit, concerned parent group, or grassroots activist, this template is designed to support your advocacy work. Use AI Insights to analyze common health symptoms and pollution patterns across submissions, helping you identify hotspots and trends to strengthen your case.

Trusted by over 500,000 teams worldwide and SOC 2 Type II compliant, Paperform provides the professional infrastructure your environmental campaign needs to create real change.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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