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How to fill out the Nuisance Complaint Form.PDF online
Filing a Nuisance Complaint Form is essential for addressing concerns related to environmental health issues in your community. This guide will help you understand each section of the Nuisance Complaint Form.PDF format, ensuring that you provide all the necessary information clearly and effectively.
Follow the steps to accurately complete the Nuisance Complaint Form.
- Press the ‘Get Form’ button to obtain the Nuisance Complaint Form and open it in your preferred editor.
- Fill in the 'Complaint Received' section with today's date, time of receipt, and the initials of the person receiving the complaint.
- Provide the address where the complaint is directed along with the name of the owner or renter of the property.
- Input a contact phone number for the owner/renter and provide legal information, if applicable.
- In the 'Nature of Complaint' section, describe the specific issue you are reporting. Be as detailed as possible to assist in addressing the concern.
- Enter your name, address, and contact phone number in the 'Complainant Name' section.
- Specify the department or individual to whom the complaint is being referred in the 'Complaint Referred To' section, along with the date.
- Leave space for investigation disclosure information, including date, time, and the initials of the personnel handling the investigation.
- In the 'Action Taken' section, document any resolutions or actions that were initiated as a result of the complaint.
- Fill out the 'EH#' (Environmental Health Number) and specify the county or city related to the complaint.
- Indicate the final status of the complaint to complete the form.
- Once you have filled out all required sections, save your changes, and proceed to download, print, or share the completed Nuisance Complaint Form as necessary.
Take action today by completing your Nuisance Complaint Form online to ensure your concerns are addressed.
Fill Nuisance Complaint Form.PDF. Nuisance Complaint Form
COMPLAINT DETAILS: -- TO BE COMPLETED BY HEALTH DEPARTMENT STAFF --. DETAILS OF PERSON MAKING THIS COMPLAINT: Surname: Initials: Section No. Date: Owner: Tenant: Other: DETAILS OF PERSONS YOU ARE MAKING THE COMPLAINT AGAINST:. Nuisance Complaint Form. (Under authority of Section 3707.01 of the Ohio Revised Code). Nuisance Site Location (Provide a street address for the offending property. Complete this form to report a public health concern. Complaints will be investigated as warranted. Date(s) of the alleged nuisance: Please check the type of nuisance that applies: â–¡ Frequent howling, yelping, barking, or other noises.
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