This form is to be used when a violation is suspected and an investigation is requested. If the situation is not one over which the Building Division exercises jurisdiction the request will be routed to the appropriate City Department. This Form can be submitted online or it can be printed out and submitted to the Building Division by mail or in person.

Property Address:*

Date:*

Owner Name (if known):

Owner Address (if known):

Reported By (Can choose to be anonymous):

Full Name:

Email Address:

Request initiated by:

Tenant Owner Neighbor

Fire Police Other

Day Phone:

Address:

City:

State:

Zip Code:

Note: Anonymous requests will be accepted and investigated but follow-up reports will not be available.

Description of Request: (Please be specific and include dates and times)*

Staff use only:

Received by:

Date:

Assigned to:

Date:

Action Taken: