Date Hazard Observed * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20202021202220232024 Year Enter Date and time exterior hazard was observed Type of Property * Residential Commercial Common/Open Space Other Business Name, Property Owner, or HOA Street Address * City * State * Location of Hazard *Description of Hazard * Attach Pictures of Hazard Upload Files must be less than 4 MB.Allowed file types: gif jpg jpeg png. Attach Pictures of Hazard Upload Files must be less than 4 MB.Allowed file types: gif jpg jpeg png. Attach Pictures of Hazard Upload Files must be less than 4 MB.Allowed file types: gif jpg jpeg png. Complainant's Name (Optional & Confidential) Phone Number Email Submit