Forms • Environmental Complaint Form

Environmental Complaint Form

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Date of Offense*

Offense Type*

	Unsafe structure
	Junk
	Rodents / Insects
	Abandoned vehicles

	Abandoned pools
	Weeds over 36 inches (in neighborhood)
	Garbage
	Other (see comments)

Offender's Name (if known) [First, Last]

Address or Location of Offense*

Details of Offense - Please be as specific as possible about the nature of the problem and include directions to the location if the property address is unknown.
*

Comments - Please include supporting evidence of the complaint or indicate other types of offenses not listed above.

Documentation - You may upload photos or other documentation to support your complaint.

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Complainant Name - [First, Last]

Contact Phone Number

Complainant Address and City

* indicates required fields.

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