Bergen, NY · Genesee County
Code Complaint Form
The Code Complaint Form lets tenants, neighbors, landlords, and others report an alleged violation in the Village of Bergen.
What this form is
Use this form to report an alleged code violation in the Village of Bergen. It asks for your name and contact details, the location and owner of the alleged violation, your relationship to the property, and a description of the issue. You may attach supporting documents, such as sketches or photos, to help with the investigation.
Who needs it
Anyone reporting an alleged violation may complete the form, identifying whether they are a tenant, neighbor, landlord, or other.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This complaint form is signed and dated without a notary; the document does not identify any notarized attachment or sworn step.
How to submit this form
- 1
Download the Form
Download the Code Complaint Form PDF.
- 2
Complete the Form
Fill in your contact details, the alleged violation’s location and owner, your relationship to the property, and a description of the issue.
- 3
Gather Supporting Documents
Attach any additional documents that may help with the investigation, such as sketches or photos.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What information does the Code Complaint Form ask for?
- It asks for your name and contact details, the violation’s location and owner, your relationship to the property, and a description of the alleged violation.
- Can I include supporting documents with my complaint?
- Yes. The form asks you to attach additional documents that may help with the investigation, such as sketches or photos.
- Do I need a notary for the Code Complaint Form?
- No. The form is signed and dated without a notary, and it does not identify a notarized attachment or sworn step.
- How do I submit the Code Complaint Form?
- Submit it to the city department named on the form; check the city website for current contact details.