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Rental Housing Program Complaint Form
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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.
Has written notice of the alleged violation(s) been mailed or personally delivered to the owner or owner's agent?
Yes
No
Documentation
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).
Tenant Information
First Name
Last Name
Address1
Address2
City
State
Zip
Phone Number
Email Address
Owner Information
First Name
Last Name
Phone Number
Please describe the alleged code violation(s).
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