You must have JavaScript enabled to use this form. Date Complainant Information Please provide your name and contact information. We do not accept anonymous complaints. Be assured your name and contact information will be kept confidential. We may contact you directly if more information is required. Full Name Email Phone Address City/Town Postal Code Subject Property Information Where is the property of concern located? Name of Owner (if known) Address City/Town Nature of Concern What are your concerns with the above noted property? Results of Concern How do the concerns you have mentioned affect you? Photos and Videos If you have relevant photos or videos we ask that you save them until a by-law officer reviews your concern and requests them from you. I do hereby lay and serve complaint against the owner of the above noted property with respect to the aforementioned conditions that are occurring and may not conform to the by-laws of the Municipality of Middlesex Centre. I do hereby lay and serve complaint against the owner of the above noted property with respect to the aforementioned conditions that are occurring and may not conform to the by-laws of the Municipality of Middlesex Centre. Leave this field blank
