PROPERTY MAINTENANCE ISSUE COMPLAINT FORM

Comments

This field is for validation purposes and should be left unchanged.

This form is for reporting observed Property Maintenance Issues that are interpreted as a potential violation of the IPMC and/or Municipal Ordinances. Areas below that have an * must be filled in to be a legitimate complaint for follow-up.

Address of Proposed Violation(Required)

Street Address City State / Province / Region ZIP / Postal Code

Poroposed Violation

If other is checked, please explain here:

Property Owner

Same as the complainant

Owner Name

Owner Mailing Address

Street Address Address Line 2 City State ZIP Code

Owner Phone

The following information provided below cannot be released to any person other than an authorized municipal representative unless ordered by a court or the complainant agrees in writing.

Note: All information must be completed to accurately respond to this complaint. Be it known that submission of a false statement may be subject to legal actions of the municipality.

Name of complainant(s)(Required)

Address of complainant(s)(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Do you want contacted with the resolution of the proposed violation?

Yes

Today's Date(Required)

Comments and Notes

Upload pictures

Drop files here or

Max. file size: 1 GB.

Invoice & Payment

Where should we send the invoice?

Enter the name and the mailing address or email address the invoice should go to. Payment can be made by check (mailed or dropped off at our office) or by card.