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Complaint Form

2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Phone Number
14. Email Address
16. Address of Complaint*
18. Description of Complaint*
20. When did the problem start?*
24. Have you talked to anyone about the problem prior to contacting the Building Department?*
26. Description of Conversations
    Please describe your conversation(s) with the person. Please include any times / dates of your conversations.
28. Name of person you spoke to:
30. Phone number of person you spoke to:
32. Email Address of person you spoke to:
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field