COMPLAINT FORM
1. Complainant: _________________________________________________________________
2. Address: _____________________________________________________________________
3. Witness (es) other than complainant: _______________________________________________
4. Alleged Offender: (Owner___ Tenant___): __________________________________________
5. Address: ______________________________________________________________________
6. Date of Incident (s): _____________________________________________________________
7. Have you spoken with the violator about the violation? _______ Yes _______ No
8. Nature of Complaint (continue on rear if necessary)
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Complainant Signature: __________________________ Phone ________________ Date ___________
OFFICE USE ONLY: Complaint No._________
Citations (Article No., Section No., Page No.) ____________________________________________________________________________________
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ACTION:
________Phone Contact made by Management Date: ________________________
________Request Letter mailed from Management Date: ________________________
________Cease and Desist mailed from Management Date: ________________________
________Hearing Notice and package mailed Date: ________________________
________Hearing Scheduled Date: ________________________