Nuisance Complaint Form

Physical Address of Nuisance (required)

Owner of Nuisance Property (required)

Township

Date of Complaint

Details of Complaint (required)

How long has problem existed

Have you discussed this problem with the owner?
YesNo

What was owners reaction?

Was notification in writing?
YesNo

Are you in the process of being evicted?
YesNo

Have you filed this complaint with any other agencies?
YesNo
If so, whom?

Your Name

Your Email (required)

Mailing Address

Phone Number