Citizen Complaint Form

This form is for reporting apparent violation of City of Houston ordnance’s relating to the care, maintenance and/or improper use of property. Submit the completed form to HPD Spring Branch Community Storefront at 8400 Long Point, Suite A, Houston, TX 77055.  Your complaint will be reviewed and  forwarded to the appropriate agency. (You may also fax it to them at 713-464-8915 but call to be sure it is received and logged. If you have questions call them at 713-464-6901.)

Date: ___________________	

Address of violation: __________________________________________________

Property type:		_ House     _ Business     _ Apt.     _ Vacant land     _ Other	

Super Neighborhood:	_ Spring Branch East		_ Langwood
			_ Spring Branch Center	_ Fairbanks / Northwest Crossing
			_ Spring Branch West		_ Addicks Park Ten
			_ Spring Shadows		_ Memorial
			_ Carverdale   			_ Willowbrook

Owner / Occupant: ________________________________________________________

Explain problem:	

Reportee:	Name     ____________________________________________________
		Address ____________________________________________________
		Phone    ____________________________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 

Referred To:	_ Neighborhood Protection	 _ Other: ___________________________

Date Received:  ___________________	 Date Referred  ______________________

Beat: ________

Revised 11-02-00