Code Compliance Complaint

Submitted Date

Submitted Time

Text Label

Use the following form to submit a complaint to the Larimer County Code Compliance Division. Upon receipt, Code Compliance staff will investigate complaints or forward the complaint to the proper agency for action. In order to process your complaint with minimum delay, certain information is required.

Please complete the following information fields and describe the problem and location as exactly as possible. If you have any questions, Code Compliance staff are available to assist you. Call (970) 498-7683.

NOTE: THIS COMPLAINT FORM IS A PUBLIC RECORD SUBJECT TO DISCLOSURE PURSUANT TO COLORADO STATE LAW.

Text Label

Address of Alleged Violation:

Property Owner Name:

Phone:

Address:

City:

State:

Zip:

Tenant’s Name:

Phone:

Text Label

Alleged Violation

How long has the violation existed?

Description of Violation:

Complainant’s Name:

Phone

E-Mail Address:

Fax No:

Alt. Phone:

Address:

City:

State:

Zip:

Please provide any case number or other id number to help route your complaint:

Text Label

*Please check the box and date, indicating you have read and agree to the following:
"Complainant certifies under penalty of perjury that the information set forth above is true and correct of Complainant's own knowledge."

Yes:

Date:

Attach up to 6 Photos:

Photo 1

Photo 2

Photo 3

Photo 4

Photo 5

Photo 6

PDF

Submit

PDF File

Loading Application

Alleged Violation