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Building Inspections – Complaint Report

Incomplete forms will not be processed. Please be sure to fill in all blanks.

MM slash DD slash YYYY
Complaint against:(Required)
(Individual's name and business name)
(Add business name here)
Person Filling Complaint:(Required)
(Add your name here)
Person Filling Complaint Address:(Required)

Details and Facts of Complaint

Address where work was performed:(Required)
MM slash DD slash YYYY

The above statements are true to the best of my knowledge and belief.

Please attach/email any additional documentation you have (i.e. Inspection report, copy of permit, photographs, etc.)
MM slash DD slash YYYY

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