You must have JavaScript enabled to use this form. If this complaint or concern deals with a situation that is posing an immediate risk or harm to persons or property, CALL 911. Date Which municipality are you from? North Middlesex Thames Centre Middlesex Centre 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 fire safety concerns or complaints with the above noted property? 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 fire regulations or by-laws. 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 fire regulations or by-laws. Leave this field blank
