Codes Complaints Form - Borough of Middletown, PA

Use this form to submit a codes complaint.

Alleged Violation Information
Address of Alleged Violation:*
Street Address City State ZIP Code
Occupant Name (if known):*
Alleged Violation*
Complainant's Information:
Complainant's Name*
Complainant's Address:*
Street Address City State ZIP Code
Email*
Phone*
Complainant's Signature*
Please sign electronically.
All complaints must be signed and must contain the name of complainant. Anonymous complaints will not be investigated. Names of complainants will not be made public; however, please be aware should the complaint result in enforcement proceedings in District or Dauphin County court, the Borough cannot protect the complainant's anonymity.
Name
This field is for validation purposes and should be left unchanged.

Alleged Violation Information