Coxsackie, NY · Greene County

No notary required

Nuisance Complaint Form

Coxsackie residents can use this form to report a suspected nuisance or property condition to the Village Building Department.

What this form is

Use this form to report a suspected nuisance or property condition at a parcel in the Village of Coxsackie. It asks for the tax map number, parcel location, property owner details, complaint source, problem type, and a description of the violation. The complainant prints their name and contact information, then signs and dates the form.

Who needs it

Residents who want to report a suspected nuisance or property condition in Coxsackie can complete this complaint form.

How to submit it

The form identifies the Building Department at 119 Mansion Street, Coxsackie, New York 12051. It also lists a phone number and fax number.

About notarization

This document is signed without a notary; the complainant just signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Coxsackie Nuisance Complaint Form PDF.

  2. 2

    Complete The Complaint

    Enter the parcel and property details, identify the problem type, describe the violation, and print your contact information.

  3. 3

    Sign And Date

    Sign and date the complaint form. The document does not list attachments.

  4. 4

    Submit To The Building Department

    Use the Building Department address printed on the form: 119 Mansion Street, Coxsackie, New York 12051.

Frequently asked questions

What is the Coxsackie Nuisance Complaint Form for?
It lets a complainant report a suspected nuisance or property condition and provide the parcel location, problem type, and violation details.
Who can use this nuisance complaint form?
A person reporting a suspected nuisance or property condition in Coxsackie can provide their contact information and complaint details on the form.
Do I need a notary for the Nuisance Complaint Form?
No. This form is signed without a notary; the complainant just signs and dates it.
How do I submit the Nuisance Complaint Form?
The form identifies the Building Department at 119 Mansion Street, Coxsackie, New York 12051. It also lists phone and fax numbers.

Need something notarized?

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