March 23, 2017

departments » fire » code compliance complaint form

Code Compliance Complaint Form

Instructions: To initiate an investigation, completely fill out this form and click on the submit button. Code compliance personnel may need to contact you for additional information or to update you on the progress towards a resolution.

(* = required field)

* Address of Violation (Specific address needed in order to investigate complaint):

Owner or Occupant of Property (If Known):

Complainant

Code Compliance officers are unable to investigate anonymous complaints. Your contact information is requested.

* For purposes of public disclosure (choose one):
OK to disclose
Do not disclose

NOTE: If you request confidentiality, the City will attempt to keep your identity confidential. However, if the City takes enforcement action, your attendance as a witness may be required at an enforcement or court hearing. If a public records request is made for your complaint, the City will remove your name and address from the complaint prior to disclosure. However, your complaint is a public record and this information may be subject to disclosure under the State Public Disclosure Act (RCW 42.46).

*First Name:  
*Last Name:  
*Mailing Address:  
*City:  
*State:  
*Zip Code:  
*Home Phone:  
Work Phone:  
*Email:  

* Details of Complaint (Be specific as to time, duration, location of violation, identities of responsible parties, actions of parties, and nature of complaint):