2. Violation Reporter's Contact Information
   Note: Your information will remain confidential.
4. Name*
5. Email Address
7. Address
9. Phone Number*
13. Violator's Information
    Please complete as much information as possible:
15. Name
17. Address or location of violation
19. Phone Number
21. Any other information known or suspected:
25. Type of Violation:

    1. Zoning Violation
    2. Town Code Violation
27. Please describe the observed or suspected violation:
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field