Harriman, NY · Orange County

No notary required

Building Department Complaint Form

Harriman residents can use this form to provide complaint details and contact information to the Village Building Department.

What this form is

This form lets a complainant provide their name, address, phone number, email, the address involved, and a description of the complaint. It also has spaces for the property owner, section, block, lot, action taken, date, and complaint number. The complainant signs and indicates willingness to sign an affidavit and appear in court if necessary; the form does not state when a complaint must be filed.

Who needs it

A person submitting a complaint to the Harriman Building Department can use this form to provide the requested contact and property information.

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 without a notary; it says the complainant may need to sign an affidavit and appear in court, but gives no notarization instruction.

How to submit this form

  1. 1

    Download The Form

    Download the Harriman Building Department Complaint Form.

  2. 2

    Complete The Form

    Print the requested complainant, complaint, property, and action-taken information, then sign and date the form.

  3. 3

    Gather Attachments

    The form does not list any required attachments.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Harriman Complaint Form request?
It asks for the complainant's contact details, the address involved, a complaint description, property owner and parcel information, action taken, and a signature.
Do I need a notary for the Harriman Complaint Form?
No. The form is signed without a notary. It says the complainant may need to sign an affidavit and appear in court, but gives no notarization instruction.
How do I submit the Harriman Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details.