Citizen Complaint Form

2. Citizen Complaint Form

3. 

7. Thank you for taking the time to report a code enforcement concern. After submitting this form, the City's Code Compliance Officer will review and process it in the order received.

   Thank you for taking the time to report a code enforcement concern. After submitting this form, the City's Code Compliance Officer will review and process it in the order received.

11. First Name

12. Last Name

13. Date
    Date

15. Email Address

16. Phone Number

18. Mailing Address

20. City

21. State

22. Zip Code

26. Please give as much detail as possible in the following fields. If you choose to remain anonymous, we will be unable to contact you for further information and your request may be considered incomplete.

    Please give as much detail as possible in the following fields. If you choose to remain anonymous, we will be unable to contact you for further information and your request may be considered incomplete.

28. Address of subject property:*

30. Nearest intersection:*

32. Please describe the situation:*

34. How would you like to be contacted?*

    1. Email Address
    2. Phone Number
    3. Mailing Address
    4. Do not contact me. I would like to remain anonymous.
35. If you choose to remain anonymous, we will be unable to contact you for further information and your request may be considered incomplete. *

    1. I understand.

37. Thank you for sharing your concern.

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field