Required fields are marked with asterisks (*)

Complaint Form - By-law Enforcement

Full Name:

Your Address:

Municipality (City, Town, Village)

Province:

Postal Code:

Phone number

Email:

The complaint is regarding property located at:

Reason for Complaint: Long Grass, Junk in Yard, Motor Vehicles, Illegal Use, Other

Motor Vehicles

Long Grass

Junk in Yard

Illegal Use

Other

Please provide the details of your complaint (e.g. date, time, location, etc.)

Personal information on this form is collected under the authority of the Municipal Act 2001, and will be used to process billings, building/planning applications, GIS updates and assessment processes. The personal information submitted will be used to provide you with information or updates on services or activities that the Township of Selwyn delivers under the Municipal Act or other legislation. Questions about the collection of this personal information should be directed to the Clerk.