Please complete the entire questionnaire. If you choose to remain anonymous, your personal information will not be released. Please note, if the information you provide is incomplete or the City has questions about your complaint, we may not be able to fully investigate if we cannot contact you. Once we determine which department your case belongs in, it will be entered into our tracking system and assigned a case number.

Personal Information

Last Name:*

First Name:*

Street Address:*

City:*

State:*

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Zip Code:*

Daytime Phone:*

Alternate Phone:

Fax Number:

Email:

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Complaint

Site Address / Location:

Exact address is very important. Please make sure you have correct information. If you are not exactly sure, please be very specific in detail.*

Please enter the details of your request in the box provided. If you are reporting more than one address violation, please submit a separate form for each address.*

For additional information or questions please feel free to contact us at (206) 248-5507 or stop by the Community Development Office at:
400 SW 152nd St
Suite 300
Burien, WA 98166-3066