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Code Violation Report Form

2. Thank you for filling out our Code Violation Reporting Form. Please provide as much information as possible.<br><br> For questions, contact the Code Enforcement Officer at 913-722-2600 or <a href="mailto:wholtkamp@roelandpark.org.">email the officer</a>.

   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.

4. First Name

5. Last Name

7. Address

9. Phone

10. Email*

12. Address of the Violation - Street Number

13. Address of the Violation - Street Name

15. 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).

17. Description of the Violation

19. 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:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field