TOWN OF WAYNESVILLE
CODE ENFORCEMENT OFFICE
280 GEORGIA AVENUE, WAYNESVILLE, NC  28786
(828) 456-2010 / FAX (828) 452-1492

CITIZEN COMPLAINT FORM
(Not to be used for utility concerns)

Nature of Complaint

Grass and Weed ______________________________________________________________________
____________________________________________________________________________________
Junk Vehicle __________________________________________________________________________
____________________________________________________________________________________
Housing _____________________________________________________________________________
____________________________________________________________________________________
Junk and Refuse ______________________________________________________________________
____________________________________________________________________________________
Miscellaneous ________________________________________________________________________
____________________________________________________________________________________

Location of Problem

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Complainant

Name         ____________________________________________________________________________
Address     ____________________________________________________________________________
Telephone ____________________________________________________________________________

If complaint is housing related, Town Ordinance requires five (5) signatures who can verify the problems.
1.  ___________________________________________________________________________________
2.  ___________________________________________________________________________________
3.  ___________________________________________________________________________________
4.  ___________________________________________________________________________________
5.  ___________________________________________________________________________________

For Official Use Only

Received on:  _________________________________________________________________________
Received by:  _________________________________________________________________________
Action Taken:  _________________________________________________________________________