Code Enforcement Complaint Form

2. Half Moon Bay values your privacy. All information you provide on this form is kept confidential.

4. Today's Date*

6. Your First Name*

7. Your Last Name*

9. Your Address

11. City

12. State

13. Zip Code

15. Best Phone Number to Reach You*

16. Your Email Address

18. The following information pertains to the location of the alleged code violation

20. Address

    Please provide the address of the property where the alleged violation is taking place

22. City

23. State

24. Zip Code

26. Description*

    Please describe the problem or alleged violation, and provide any other information you feel is useful

28. Date of Violation

    Please provide the date that you viewed the alleged violation, and indicate if it is ongoing

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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

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