Nassau, NY · Rensselaer County
Code Enforcement Complaint Form
The Code Enforcement Complaint Form lets Nassau residents report a potential code violation to the Village of Nassau Building & Codes Department.
What this form is
Use this form to describe a potential code violation and its possible impact on public health, safety, or welfare. It asks for the issue, the relevant Village code section, the property address, and any known owner details; your name, address, telephone number, and signature are optional. Anonymous complaints are accepted, though the form notes that missing contact information may delay follow-up.
Who needs it
Anyone wishing to report a potential code violation in the Village of Nassau can submit this complaint, anonymously or with optional contact information.
How to submit it
Mail or fax the complaint to the Village of Nassau Building & Codes Department, 40 Malden Street, P.O. Box 452, Nassau, New York 12123, or place it in the drop box at Village Hall.
About notarization
This complaint is signed and dated without a notary; the form makes the signature optional and asks the signer to enter a date.
How to submit this form
- 1
Download The Form
Download the Code Enforcement Complaint Form PDF.
- 2
Describe The Issue
Enter the date, describe the issue and its potential impact, and provide the code section and property details if known.
- 3
Add Optional Details
You may provide your name, address, telephone number, and signature. Attach additional pages if needed.
- 4
Submit The Complaint
Mail or fax the form to the Building & Codes Department, or place it in the drop box at Village Hall.
Frequently asked questions
- Do I need a notary for the Code Enforcement Complaint Form?
- No. This complaint is signed and dated without a notary; the form makes the signature optional and asks the signer to enter a date.
- How do I submit the Code Enforcement Complaint Form?
- Mail or fax it to the Village of Nassau Building & Codes Department, or place it in the drop box at Village Hall. The form lists the department's mailing address and fax number.
- Can I submit an anonymous code enforcement complaint?
- Yes. The form says anonymous complaints are accepted, but explains that a lack of contact information may delay work if staff have questions or need to follow up.
- What information does the complaint form ask for?
- Describe the issue and its potential impact, identify the relevant Village code section and property address, and provide known owner details. Your contact information and signature are optional.