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2. CODE VIOLATION FORM
4. Thank you for filling out our Code Violation Reporting Form. Please provide as much information as possible.
   
   For questions, contact the Code Enforcement Officer at 913-722-2600 or email the officer.
6. First Name
7. Last Name
9. Address
11. Phone*
12. Email*
14. Address of the Violation
16. General Location of the Violation *
    Please try to describe the general location of the issue (side of street - north, south, east, west - or major intersections, such as 55th and Roe).
18. Description of the Violation*
20. Do you wish to be contacted after the Code Enforcement Officer completes the investigation?*

    1. Yes, please contact me.
    2. No, please do not contact me.
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field