City of Lake Elsinore Code Enforcement Online form

LAKE ELSINORE
CODE ENFORCEMENT DIVISION

Online Complaint Form

Please complete this form to report a code violation within the City of Lake Elsinore. Each complaint must be reported separately. This form will be e-mailed to the Code Enforcement Staff and responded to in the order received. You will be contacted by phone or e-mail if additional information is required. Response time will vary according to type of complaint and number of complaints currently on file. For more information, please call the Code Enforcement Division at (951) 674-3124 x 227.

Complaintant's Information:
Date Reported ..............................................
First Name ...................................................
Last Name ...................................................
Street Address ..............................................
City...........................................................
State .........................................................
Zip ...........................................................
Phone # ......................................................
E-mail address ..............................................
May we contact you concerning this matter?	No Yes
Violation information: (City of Lake Elsinore only)
Location of Violation:* (example, 2900 Lincoln Street)
Nearest Cross Street:* (example, Broadway)
I'd like to report a problem(s) as follows. Select problem category (option click to select multiple categories)
Additional information:
Have you reported this problem to this Code Enforcement before?	No Yes If Yes, give date when first reported:
Comments or questions?
	* indicates required field.

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The City of Lake Elsinore California (951) 674-3124
130 South Main Street, Lake Elsinore, CA 92530 webmaster