Building Codes Division 1535 Edgewater NW, Salem, OR-2026

1. Click ‘Get Form’ to open the Complaint Report in the editor.
2. Begin by filling out the 'Alleged Violator' section. Enter the last name, first name, middle initial, and driver license number of the individual or business involved. Ensure you also provide their address and contact numbers.
3. In the 'Description of Alleged Violation' section, indicate whether you witnessed the violation. If not, explain how you know it occurred. Fill in the violation date and time along with the location details.
4. Select the type of alleged violation from the options provided (e.g., Electrical, Plumbing). Be specific about any codes violated by checking appropriate boxes.
5. Complete the 'Witness' section if applicable, providing their contact information. Then move on to detail your report of the violation as thoroughly as possible.
6. Finally, fill out your own information in the 'Complaint Information' section and ensure to sign and date the form before submission.

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