Form Center

2. 
   
4. Emergency complaints should be reported by phone to our complaint desk at (731) 423-2041.

   Confidentiality Statement: Any and all information about the identity of the person or persons making any complaints received with this office can be kept confidential, when requested by
   complainant.

   Fields marked with a red asterisk ("*") are required and must be completed in order to initiate a complaint online.
6. 
   
8. Contact Information
10. 
    
12. First Name:*
14. Last Name:*
16. Main Phone Number:*
18. Second Phone Number:
20. Email:*
22. 
    
24. I request that my contact information above be kept confidential.

    1. Yes
    2. No
26. 
    
28. Violation Information
30. 
    
32. Please complete as much information as possible.
34. 
    
36. Type of Property:

    1. Residential
    2. Commercial
38. 
    
40. Address of Property with Violation:*
42. Property Owner Name:
44. Street Number:
46. Street Name:
48. Street Type:
50. Unit:
52. City:
54. 
    
56. Description of Possible Violation:*
58. 
    
Leave This Blank:


60. Submit Submit and Print

* indicates a required field