TOWN OF WOODFIN
90 Elk Mountain Road. Woodfin, North Carolina 28804. (704) 253.4887 . Fax (704) 253.4700

CITIZEN COMPLAINT FORM

Complaint Received From: ________________________________________________________

Address: ________________________________________________________________________

Telephone: ______________________________________________________________________

Nature or Complaint: ____________________________________________________________

Physical Location: ______________________________________________________________



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Complaint Number: _______________________________________________________________

Inspection Date: ________________________________________________________________

Inspected By: ___________________________________________________________________

Action Taken: ___________________________________________________________________

Follow-Up Date: _________________________________________________________________

Comments: _______________________________________________________________________