Code Enforcement Complaint Form

Please include all known information.

Name: (first/middle/last/suffix, first and last required)

Address: (required)

,

Phone:

EMail adress: (a copy of your submittal will be sent to this address)

Nature of problem: (describe the issue here)

Location of problem: (enter address of problem here)

Property Owner: (enter name of property owner, if known)

Property Owner's Address: (enter address of property owner, if known)

Tenant's Name: (enter the name of the tenant, if applicable)

Tax Map Number: (enter the tax map number, if known)

Section(s) of Code Violation: (enter the section of code that has been violated, if known)