If you’re concerned about possible fire/life safety code violations, please use this form to file a complaint. Your complaint will be reviewed in the order it was received and you may be contacted by the inspector investigating your complaint.

Name: 

Name:

Email

Email

Select violation type from the list below:

Select violation type from the list below:

Ashes - Improper Disposal	Blocked Exit or Exit Door	Electrical Hazard	Fire Lane Blocked or Improperly Marked	Fire Protection System/Alarm or Sprinkler	Gas Station Equipment Malfunction	Grills - Balconies, Patios
Illegal dumping in storm sewer	Overcrowding - Public Place	Smoking Materials	Storage - Hazardous Materials	Any other Fire or Life Safety complaint	Vacant, abandoned, unsecured, or dilapidated structures

Street Number:

Street Number:

Street Name:

Street Name:

Apt/Unit #:

Apt/Unit #:

City:

City:

State: 

State: (Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:

Zip:

Describe where on the property the problem exists or if you do not have an exact address for the problem, describe the location:

Describe where on the property the problem exists or if you do not have an exact address for the problem, describe the location:

When did you notice the violation?:

When did you notice the violation?:

Best time for inspector to observe the violation:

Best time for inspector to observe the violation:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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