Trinity County Code Violation

APN Number and/or Address of reported Violation: *

Name of Owner/ Tenant being reported (or enter unknown): *

Complainant's Information (Complainant's Information is kept confidential):

Which Department should be notified of this complaint?

Full Name:

Address:

Complainant Phone Number / voicemail

Email *

What date and time did you observe the violation?

Date:

Month

Day

Year

Time:

Hour

:

Minute

am

pm

Did you observe any weapons, explosives, traps, shafts, dogs/animals, or anything which appears to be a potential hazard or danger to the inspector on the site? A "YES" response requires a brief explanation: *

COMPLAINT (Please explain): *

Have you reported this to a County Department previously?

Previously reported to:

Would you like to include a picture? Up to three pictures can be submitted with this form.

Yes

Would you like to include a second picture?

Yes

Would you like to include a third picture?

Yes

Trinity County Code Violation

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