You may check off "Anonymous" for privacy, however, all sections indicated with a red star "*" must be completed for internal office procedure.

Example: 123-123-1234 Your phone number is required to verify the complaint.
Date Format: mm/dd/yy
Anonymous: your name will not be identified to the public
Time Format: 00:00
Please enter your 3 digit lot number
Briefly describe the violation and how/from where the violation was noted:

CC&R Violation (check all that apply; please see CC&R’s for detailed descriptions):

Article II:

Article V:

___________________________________________________________________________

Enter the Security Code Shown. If you have successfully submitted your complaint, you will see "Your message has been sent. Thanks!"

___________________________________________________________________________

FOR OFFICE USE ONLY

Verification Date/Time:

Architectural/Environmental Control Committee member:

Notes:

Name:

TMK#:

Photos:       YES         e-file         print        NO
(with date and initials, please)

Duplicate violation(s) already in process:    NO     YES     Dates:

Letter sent: ________________ Follow-up date:______________

Verification date/time:________________COMPLIED?   YES    NO

Architectural/Environmental Control Committee member:

Lot Owner Called: Date_____________,TIME________BY______________________

COMMENTS:

FURTHER ACTIONS: