2. Use this form to report a problem relating to trash/junk/rubbish, vacant properties, graffiti, and weeds/high grass. Online submissions will take time to process and forwarded to the Inspections Division for investigative follow-up. Although you may remain anonymous while using the online complaint form, supplying your name and phone number is helpful in the event that additional information is needed.
4. Detailed General Information
6. Problem Type:*
   -- Select One --Trash/Junk/RubbishVacant PropertiesGraffitiWeeds/High GrassOther
8. Location of Incident:*
9. Additional Location Information:
11. Dates Observed*
    Dates Observed Start Date

    —

    Dates Observed End Date
12. Times Observed:*
    Times Observed: Start Time

    —

    Times Observed: End Time
14. Source of Information:*
16. Detailed Property Description
18. Address:
19. Unit Number:
20. Cross Street:
22. Business Name:
23. Rental or Owner-Occupied:

    1. Rental
    2. Owner-Occupied
24. Is the property vacant:

    1. Yes
    2. No
26. Contact Information for the property owner:
28. Detailed Specific Trash/Junk/Rubbish
30. What are the items in question:
32. Where are the items on the property (i.e. west side of the garage, rear of property, or east side of house and fence):
34. Can the inspector see the trash/junk/rubbish from the alley:

    1. Yes
    2. No
35. How long has the property been vacant:
36. Is the building secured:

    1. Yes
    2. No
37. Has anyone been seen entering the structure:

    1. Yes
    2. No
39. Detailed Graffiti Information
41. Have the police been notified:

    1. Yes
    2. No
42. Where is the graffiti on the property? (i.e. west side of garage, east side of house, back fence):
44. Detailed Weeds/High Grass Information
46. Are the weeds/grass higher than 10 inches:

    1. Yes
    2. No
48. Submitting Person's Information (Optional)
50. First Name
51. Address1
53. Phone:
54. City
56. Email:
57. State
58. Zip
60. May we contact you in reference to your submission:

    1. Yes
    2. No
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

* indicates a required field