Initial Complaint Form Code Enforcement Violation "*" indicates required fields Full Name of Complainant* First Last *Pursuant to Minn. Stat. 13.44 all reporters’ names are confidential and cannot be disclosed.Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Date of Information Received* MM slash DD slash YYYY Time of Information Received* Hours : Minutes Visual Observation/Report by City Employee:* First Last Department* Physical Address of Infraction* * Weeds Garbage Dumpster Rubbish Vehicle Snow Violation Notes:*Property Owner /Landlord / Renter*
