Town of Ulster | Building Inspector Complaint Form

Complaint Form

Information provided on this form will not be shared outside of the Town of Ulster Building Department.

Complainant Information

Complainant's Name *

Complainant's Phone *

Complainant's Email *

Complainant's Address *

Complainant's Signature *

Reset Signature

Signature is required.

Nature of Complaint *

Location of Complaint

Address *

Property Owner (if known)

Business Name (if applicable)

Captcha *

reCAPTCHA is required.

FOR OFFICE USE ONLY

Inspector Assigned ________________________________________

Date Assigned ____________________

Date Inspected ____________________

Classification of Occupancy ____________________

Property was VACANT or OCCUPIED at time of inspection

Contacted Other Agency ____________________

Conditions Found

________________________________________________________________________________

________________________________________________________________________________

Recommendations

________________________________________________________________________________

________________________________________________________________________________

Follow-up Date ________________________________________

Signature of Inspector ________________________________________

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Complaint Form

Complainant Information

Location of Complaint

FOR OFFICE USE ONLY