If you chose "other" in previous question please briefly explain the code violation below:
Your answer
What is the address of the violation? *
Your answer
Have you reported to 311? *
If the code violation has already been reported to 311 please include the date and/or reference number below:
Your answer
If you would like to be contacted by a BANA board member regarding the violation please include your contact information below. All information will be kept confidential. *