PDF Format
NOTE: In order for this form to be processed, all fields are required to be filled in except for the "E-mail Address" field. Complaints sent using "Anonymous" as a name and address will not be processed.
To send a photo or document pertaining to your complaint, please click here and then attach it to the E-mail.
Date:
Name and Address of Complainant(s):
Home Phone:
Work Phone:
Reported Address of Violation(s):
Subject of Complaint:
Signature of Complainant:
Office Use Only Action File No. Tax Key No. Received By Date Referred To Aldermanic District