Hazard Complaint Form
Citizens may report hazardous conditions observed on properties within Ross Valley Fire Department's jurisdiction.
Contact Information
Please fill out the following information as fully as possible. Note: These field are not required to report a concern/complaint.
Your Name
Your answer
Telephone(home):
Your answer
Telephone(work):
Your answer
Email Address:
Your answer
Would you like to be contacted after the inspection is completed?
Property Information
Location of Complaint/Concern:
Your answer
Please be as specific as possible with the location, your concerns, what the possible hazard is (grass/brush around property, overgrown trees, piles of debris, etc.). This assists the Department in "seeing what you are seeing."
Your answer
Owner Information
If you have any of the following, please provide the information to the Department. This will assist us in contacting the responsible person(s).
Property Owner/Tenant:
Your answer
Property Owner Address (if not current residence):
Your answer
Telephone (home):
Your answer
Telephone (work):
Your answer
Email Address
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of RVFD. Report Abuse - Terms of Service - Additional Terms