PROPERTY MAINTENANCE ISSUE COMPLAINT FORM

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)
Poroposed Violation
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.
Address of complainant(s)
Do you want contacted with the resolution of the proposed violation?
MM slash DD slash YYYY