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Code Violation Report Form

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