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Property Concern

2. Address of Concern*

3. Date of Concern*
   Date of Concern

5. Your First Name

6. Your Last Name

8. You Are:*
   -- Select One --The Property OwnerThe Property Manager/LandlordThe TenantA Concerned Citizen

10. Your Phone Number

12. Your Email Address

14. Common Concerns
    -- Select One --Grass has not been mowed and clearly exceeds 8” in height.Public sidewalk in Right-of-Way has not been cleared within 24 hours after snow event ended.High humidity - Dehumidifier running but not able handle humidity.High humidity - Water leakage.High humidity - Bathroom exhaust fans are running, but are not able to remove humidityHigh humidity - Bathroom exhaust fans are not working

16. Please enter a description of your concern*

18. Have you notified the property owner, manager, landlord, or tenant of your concern?*

    1. YES

    1. NO

20. If you answered YES, please provide a description of who you spoke with, when it was, and whether it was via phone, email, etc.

22. This Person's First Name

23. This Person's Last Name

25. This Person's Phone Number

27. This Person's Email Address

29. Do you have any pictures or documents you would like to share with us related to your concern?*

    Pictures are most often required to initiate an investigation, especially involving in home concerns.

    1. YES

    1. NO
31. If yes, please upload now

33. Please provide any additional information that may help our investigation

35. Would you like follow up contact from our division related to our investigation?*

    1. YES

    1. NO

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field