Section 1: Complaint Information
Your Name:
Email:
Phone Number:
Alt. Phone Number:
Street Address:>
City, State:
, NC
Zip Code:
Section 2: Location/Description of Code Violation
Violation Type:
Junk Vehicles
Minimum Housing
Nuisance
Solid Waste
Other (describe in box below)
Description:
Street Address:
Cross Street:
Security Question:
Please enter the day of the week (ex."Tuesday").
This question is to limit unauthorized entries.