Please complete this form to report a concern. Please be as specific and complete as possible when filling in the form.

Complete address of property you are reporting:*

Property Owners Name:*

Property Owners Phone Number(s):*

Details of Complaint:

If you have a concern that involves STREET MAINTENANCE such as potholes, street signs or general maintenance, please fill out the following form.

[Streets Report a Concern]

Check all Boxes that Apply:

Graffiti Animal Dangerous Buildings or Conditions Storage of Junk Cars Illegal Land Use

Tree branches overhanging sidewalk Accumulation of Junk and Debris Operation of Illegal Business Weeds General Nuisance

Is this violation ongoing?*

Yes

No

When did it begin?

Please provide your name and contact information:

CONFIDENTIALITY: Your name will most likely be disclosed. The City will disclose your name if you are going to be a witness in an enforcement case. (The Constitutional right to confront an accuser, i.e., the right of cross examination requires disclosure.) If you do not disclose your name or are unable to refuse to testify, the case will most likely be dismissed. BY INITIALING, BELOW, I AM INDICATING THAT I UNDERSTAND THAT MY NAME MAY BE DISCLOSED.

Please Initial.*

Name:*

Phone Number(s):*

Address:*

Email Address:

AN INITIALED COMPLAINT FORM IS NECESSARY BEFORE THE COMPLAINT CAN BE INVESTIGATED, UNLESS A LIFE THREATENING ISSUE EXISTS OR IF IT IS OTHERWISE DEEMED APPROPRIATE TO ACT.

PLEASE INITIAL AGAIN. *