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
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