Rental Housing Program Complaint Form

2. Written Notice
   At least 10 days prior to submitting a complaint to the City, written notice of the alleged violation(s) to the property owner or manager is required.

   At least 10 days prior to submitting a complaint to the City, written notice of the alleged violation(s) to the property owner or manager is required.

4. Has written notice of the alleged violation(s) been mailed or personally delivered to the owner or owner's agent?

   1. Yes
   2. No

6. Documentation
   Please include the following information with this complaint form:<br><ul><li>Documentation that complainant is a party to a rental agreement at the address identified in the complaint. This may include driver's license, rental agreement, or billing statement.</li><li>A copy of the written notice provided to the owner or owner's agent (manager).</li></ul>

   Please include the following information with this complaint form:
   

   • Documentation that complainant is a party to a rental agreement at the address identified in the complaint. This may include driver's license, rental agreement, or billing statement.
   • A copy of the written notice provided to the owner or owner's agent (manager).

8. Tenant Information

10. First Name

11. Last Name

13. Address1

15. Address2

17. City

18. State

19. Zip

21. Phone Number

22. Email Address

24. Owner Information

26. First Name

27. Last Name

29. Phone Number

31. Please describe the alleged code violation(s).

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field