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2. Name of Business or Multi-Family Property*
4. Address1*
6. Address2*
7. Zip*
11. Alleged Violation*

    1. Failure to provide recycling service
    2. Failure to provide organics service
    3. Improper sorting/disposal or contamination of materials
    4. Other

    Select at least on option and/or indicate "Other" if applicable.

15. Alleged Violation Description*

    Please describe, in detail, the alleged violation, including locations(s) and all other relevant facts known to the complainant. Please attach all relevant photographic or documentary evidence to support the allegations in the complaint (if available).

17. Attach Photos Supporting the Claim
21. Your Contact Information (Optional)
23. First Name
24. Last Name
26. Phone Number
27. Email
31. Email Address

    To receive a copy of your submission, please fill out your email address below and submit.

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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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