Web Application - NewPermitSnow

SNOW/ICE ON WALK COMPLAINT FORM

By submitting this form you are allowing your personal information to be collected for possible use in legal proceedings relative to the filed complaint.

COMPLAINANT INFORMATION:

First Name:

Last Name:

House:

Street:

Postal Code:

(no spaces)

Suite:

Phone Number:

-

Email Address:

COMPLAINT and LOCATION INFORMATION:

Enter the property address against which the complaint is being registered.

House:

Street:

Enter part of the Street (e.g. 71 Street NW or SW)

Suite:

Please enter additional complaint details below: