VILLAGE OF GREENPORT / ESTABLISHED 1838
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* Violation Address:

* Closest Cross Street:

Name of Owner/Tenant, if known.

* Brief Description of Complaint:

Example: No pool fence, noise pollution, unregistered vehicles stored in public view.

What is the best time of day or day of the week to observe the violation?

Have any previous complaints been made?
Unknown      Yes      No

If yes, when was the last date submitted.

Is the location of the complaint occupied by the owner?
Unknown      Yes      No

Does this involve an alleged transient rental?
Yes
No

If yes, which site is the rental listed on (if known)?
AirBNB               Craiglist
Home Away      Other
VRBO

If Other, then please list here.

*I affirm that all information provided in this complaint is true and factual.
Yes       No

The following name, address & phone fields are optional except the email address:

First Name

Last Name

Address

Phone Number:
() -

Email Address:

Would you like to be contacted about the complaint?
Yes       No

Receive email copy

Email Address:

This field is not part of the form submission.

* Required Field.
Confidential or time-sensitive information should not be sent through this form.