Harpersfield, NY · Delaware County

No notary required

Complaint Form

Harpersfield residents can use this form to submit a complaint and provide details about the problem and the property involved.

What this form is

The Town of Harpersfield complaint form lets a citizen describe a problem and state whether the complaint concerns health, safety, or welfare. It asks for the complainant’s telephone number, property and occupant details, and a signature and date. The form warns that a complaint may result in court action against the property owner or tenant and includes an option to request anonymity.

Who needs it

A citizen making a complaint to the Town of Harpersfield can use this form to provide information about the problem and affected property.

How to submit it

File the complaint with the Town of Harpersfield at 25399 State Route 23, Harpersfield, NY 13786; the form says property information can be obtained at Town Hall when filing.

About notarization

This complaint is signed and dated without a notary; the form identifies no notarized attachment or related step.

How to submit this form

  1. 1

    Download the Form

    Download the Town of Harpersfield complaint form.

  2. 2

    Complete the Complaint

    Describe the problem, provide the requested information, and indicate whether it concerns health, safety, or welfare.

  3. 3

    Sign and Date

    Sign and date the form. If you wish to remain anonymous, complete that section and provide a reason.

  4. 4

    File at Town Hall

    File the form at 25399 State Route 23, Harpersfield, NY 13786. Property information can be obtained at Town Hall when filing.

Frequently asked questions

What information does the Harpersfield complaint form request?
It asks for a description of the complaint, a telephone number, the reason for the complaint, property and occupant information, and the complainant’s signature and date.
Do I need a notary for the Harpersfield complaint form?
No. The complaint form is signed and dated without a notary, and it does not identify any notarized attachment or related step.
How do I submit the Harpersfield complaint form?
File it at Town Hall, 25399 State Route 23, Harpersfield, NY 13786. The form says property information can be obtained at Town Hall when filing.
Can I ask to remain anonymous?
The form includes an option to request anonymity and a space for a reason. It does not describe how that request will be handled.

Need something notarized?

This Complaint Form doesn’t need a notary — but if you have another Harpersfield form that does, a commissioned online notary can help.