Nuisance Complaint Form

Your Information

Your Name
Phone Number
Email Address

Complaint Information

Complaint Address
Zip Code
Property Owner
Description of Complaint
Are you a tenant living at this property?
If YES, have you contacted the landlord in writing about your complaint?
If YES, what was the date of your complaint in writing?
Has the landlord responded to your complaint?
***All information on this form is considered public information and subject to review or release to any requesting party.
***Anonymous public health nuisance complaints will not be accepted. Form must be filled out completely to be accepted.