Code Enforcement Complaint Form

2. LOCATION OF VIOLATION

4. House Number

5. Street Name

6. Tax Account Number

10. OWNER INFORMATION

12. First Name

13. Last Name

15. Address

17. City

18. State

19. Zip

23. COMPLAINT INFORMATION

25. Nature of Violation

27. Violation can be seen from:

    1. City Street or Alley
    2. Complaint's Property (permission to enter property and contact information will be required)

28. Do you grant permission to enter your property for inspection?

    1. Yes
    2. No

32. COMPLAINANT INFORMATION
    <i>If you have given permission for the Code Enforcement Officer to enter your property, contact information is required. Otherwise, the below information is optional. If follow-up is requested, please provide contact information.</i>

    If you have given permission for the Code Enforcement Officer to enter your property, contact information is required. Otherwise, the below information is optional. If follow-up is requested, please provide contact information.

34. First Name

35. Last Name

37. Address

38. Phone Number

40. City

41. State

42. Zip

43. Email Address

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field