Type of Complaint * Fire or Life Safety Code Violation Public Health Concern Location/Address of Complaint * Description * Please provide specific information and details about the fire/life safety or health concern you are reporting. May we contact you? * Yes, you may contact me No, please don't contact me Your name If you are willing to be contacted for additional information, please provide your full name. Your contact phone number If you are willing to be contacted for additional information, please provide a phone number where you may be reached. Your email address If you are willing to be contacted for additional information, please provide your email address. Leave this field blank
