Code Violation Worksheet
This document is for your records; it is designed to help guide you through the process.. It is also a good way to help you keep track of all the necessary information. Be sure to make separate copies for each violation you are reporting. You may wish to provide a copy to your neighborhood association president.
| Address you are reporting: | ||
| Property owner’s name (if available) & contact information: | Tenant’s name (if available) & contact information: | |
| Description of suspected code violation : | ||
| Any actions taken before calling 311: | ||
| Date you reported it to 311: | Complaint number: | |
| Date you called to follow up: | Case number: | |
| Investigator’s name: | Phone: | |
| Email: | ||
| Additional dates investigator was contacted: | ||
| Additional information that was given to investigator: | ||
| Status of the investigation: | ||
| Estimated date of resolution: | ||
| Notes: | ||