Shelter Bay Community Incident/Concern/Complaint Form
Use this form to submit an incident/concern/complaint to the Shelter Bay Office. Your issue will be referred to the appropriate committee/office for review and resolution, and you will be notified of the final disposition.
Are you reporting an incident, concern or complaint?
Name of Person(s) Reporting: *
Your answer
Lot # *
Your answer
Email Address
Your answer
Phone #
Your answer
Description of Incident/Concern/Complaint (who, what, when & where) *
Your answer
Has there been an effort made by the parties involved to resolve this issue?
Is this a problem for other residents?
Comments
Your answer
Submitted by *
Your answer
Date
MM
/
DD
/
YYYY
You are finished with your part of the form. Scroll to the bottom and click the blue "SUBMIT" button.
FOR OFFICE USE ONLY
Referred to
Reviewed by Committee/Manager on
MM
/
DD
/
YYYY
If this report concerns actions on another lot (respondent), please provide:
Name
Your answer
Lot #
Your answer
Email
Your answer
Phone
Your answer
Respondent's comments
Your answer
Comments given/taken by:
Your answer
Action Taken
Your answer
Action by
Your answer
Date
MM
/
DD
/
YYYY
Follow-up Information
Your answer
Follow-up by
Your answer
Date
MM
/
DD
/
YYYY
Final Disposition
Your answer
Final Disposition by
Your answer
Date
MM
/
DD
/
YYYY
Submit
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