Required fields are marked with asterisks (*)

Formal Complaint Form

Uxbridge By-law Services Department

Date of Complaint:

File No.: (For internal office use only)

Description of Complaint:

Location of Complaint:

Additional Information:

Have the Police attended the property in the past?

Yes

How many people live on the property?

Are you aware of any violent altercations that have taken place involving the residents of the property in question?

Yes

Are there any dogs on the property?

Yes

Complainant Information:

Name(s):

Address:

Email address:

Telephone number:

Important

If you would like an update on the status of your complaint, please call By-law Services at 905-852-9181.

Please be advised that we are not permitted to divulge details.

This form may contain "Personal Information" as defined under the Municipal Freedom of Information and Protection of Privacy Act and is collected pursuant to the Municipal Act, 2001, as amended. Personal information, such as names, will not be published unless express consent is provided. Email addresses will be utilized to facilitate contact as indicated above. Questions or concerns regarding the collection and/or use of this information can be directed to the Deputy Clerk of the Township of Uxbridge, 51 Toronto Street South, Uxbridge, ON L9P 1T1 905-852-9181, Ext. 209.