Citizen Complaint Form

Please use this form to document any concerns you may have about a situation within the City which doesn’t appear to comply with local codes. This information will be kept confidential unless ordered to be released by a court order, state law, or by permission of the reporting party. Anonymous complaints or incomplete forms will not be investigated. Please complete sections 1 & 2.

When completed, please bring this form by City Hall at 201 NE Vernon Street so that staff can review and discuss your concern and initiate whatever remedial action may be necessary.

If you have any questions, please call the Code Compliance Office at 254-897-2272, Ext 109.

Section 1: Information about your concern

Address of Concern

Section 2: Reporting person's information

Name
Phone Number
more items
Address