Claverack, NY · Columbia County
Complaint Form
Town of Claverack residents can use this form to report a property concern involving health, safety, or a fire hazard to the Building Department.
What this form is
The Complaint Form lets a complainant identify a property and explain an alleged violation involving health, safety, or a fire hazard. It asks for the complainant’s contact information, the property owner and address, and details about the problem, including events and people involved. The complainant also acknowledges that the complaint may lead to court action and agrees to appear at related court appearances.
Who needs it
A person reporting an alleged property violation involving health, safety, or a fire hazard to the Town of Claverack may use this form.
How to submit it
Submit it to the Town of Claverack Building Department, 91 Church Street, PO Box V, Mellenville, NY 12544. The form also lists a phone number and fax number.
About notarization
This complaint form is signed and dated without a notary; the complainant agrees to appear at court appearances arising from the complaint.
How to submit this form
- 1
Download The Form
Download the Complaint Form PDF.
- 2
Complete The Form
Enter your contact information, identify the property and owner, select the complaint reason, and explain the problem.
- 3
Sign And Date
Sign and date the form after reading the statement about possible court action and court appearances.
- 4
Submit To The Building Department
Submit the completed form to the Town of Claverack Building Department at the address shown on the form.
Frequently asked questions
- What does the Claverack Complaint Form report?
- It lets a complainant report an alleged property violation involving health, safety, or a fire hazard and explain the problem.
- What information does the complaint form ask for?
- It asks for the complainant’s name, address, city, state, ZIP code, and phone number; the property owner and property address; and an explanation of the problem.
- Do I need a notary for the Claverack Complaint Form?
- No. The complainant signs and dates the form without a notary and agrees to appear at court appearances arising from the complaint.
- How do I submit the Claverack Complaint Form?
- Submit it to the Town of Claverack Building Department at 91 Church Street, PO Box V, Mellenville, NY 12544.
Need something notarized?
This Complaint Form doesn’t need a notary — but if you have another Claverack form that does, a commissioned online notary can help.