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2. Instructions

   Your personal information is STRICTLY CONFIDENTIAL. We strongly recommend attaching photos of the alleged violation, as photo documentation would greatly enhance our ability to successfully respond to your complaint.

4. First & Last Name
5. Email
7. Address
8. Phone Number
10. Location of Violation
    The address where the alleged violation is occurring is required for you inspection to be processed.
12. Address of the Violation
13. Property Owners:
15. Photos
    Please upload any photos that will be helpful
17. Description of Violation
    Please describe in detail the extent and location of the violation:
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit Submit and Print

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