2. CODE COMPLAINT
4. ADDRESS OF COMPLAINT*
6. PROPERTY OWNER'S NAME
8. TYPE OF COMPLAINT*

   1. Dilapidated / Dangerous Building
   2. Garbage / Debris
   3. Junk / Abandoned Vehicle
   4. Overgrown Grass /Weeds
   5. Sidewalk Obstruction
   6. Zoning Violation
   7. Other
10. IF OTHER, WHAT IS THE NATURE OF THE VIOLATION / COMPLAINT?
12. IF VEHICLES ARE INVOLVED, PLEASE PROVIDE DESCRIPTION
14. Make
15. Model
17. Color
18. License Plate #
20. Make
21. Model
23. Color
24. License Plate #
26. Make
27. Model
29. Color
30. License Plaste
32. CITIZEN REPORTING COMPLAINT
43. Phone Number
45. Do you want to be contacted about this complaint?

    1. Yes
    2. No
46. Is this complaint about a neighbor?

    1. Yes
    2. No
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field