E-Gov Services City of Albemarle

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

Nuisance/Code Violations

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Purpose. Use this form to report suspected nuisance violations. If you do not provide contact information such as a phone number or email, we cannot respond to you.

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Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Address:
City:
State:
ZIP:

Issue/Problem Location:

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
	Provide any additional information on problem location in the box below.

Nature of the complaint/suggestion...

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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