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Citizen Complaint Form

  1. By signing this form I certify that the information I have provided and contained herein is true and correct to the best of my knowledge, that the incident and / or complaint will be investigated by an Officer of the Code Enforcement Division, that I may be required to give additional statements to such Officers and that any records pertaining to a case that may be assigned to this complaint is subject to Florida public records law.

  2. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  4. This field is not part of the form submission.