Complaint Form

Name *

First Name

Last Name

Phone *

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I hereby affirm that the foregoing information is true and complete to the best of my knowledge and belief. I understand that making false or misleading, or untrue statements or writing to any persons(s) investigating this complaint may subject me to civil prosecution by the accused or criminal prosecution by the City and/or State. I realize that it may become necessary during the investigation of this complaint for me to meet with officers of the Boulder City Code Enforcer to discuss the complaint. I further realize that I must be willing and able to attend court and provide sworn testimony to the facts put in this complaint. *

I agree

I disagree