Complaint Form

2. Complainant's Name
   Leave blank if anonymous.
4. Address
   Leave blank if anonymous.
6. City
7. State
8. Zip Code
10. Phone Number
    Leave blank if anonymous.
14. Address / Location of Complaint*
16. City*
17. State*
18. Zip Code*
20. Phone Number
22. Code Enforcement Complaint Description*
24. Date
    Date
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field