Code Compliance Complaint Form

If you have a concern or know of a possible code violation in Bellevue, please complete the form below and click the SUBMIT button at the bottom. A Code Compliance officer may need to contact you for further information. We will update you on the progress of the case.

Location/Address of Violation 

Date of Occurrence   mm/dd/yyyy or mm/yyyy

Contact Information: Code Compliance officers are unable to investigate anonymous complaints. Your contact information is requested.

For purposes of public disclosure (choose one): Okay to disclose Do not disclose
First Name
Last Name
Mailing Address
Address (cont.)
City
State
Zip Code
Home Phone	xxx-xxx-xxxx
Work Phone	xxx-xxx-xxxx
E-mail
Describe the nature of your complaint: Please provide detailed and concise information (who, what, where, when, how) and do not use carriage returns or line feeds in this description.  For additional guidance, you can consult the code violations page.