Lykens, PA · Dauphin County

No notary required

Complaint Form

Lykens Borough’s Complaint Form lets residents report health, sanitation, zoning, building, or other issues for borough review.

What this form is

Use this form to report an issue to Lykens Borough, including health or sanitation concerns, zoning or building matters, or another complaint. It asks for the complainant’s contact information, the issue’s location and date, known owner information, and a description of the issue. The form says the borough does not share the complainant’s identity during investigation, but the complainant may be called as a court witness if the matter advances.

Who needs it

Residents who want to report a health, sanitation, zoning, building, or other issue to Lykens Borough can complete this form.

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 document is signed without a notary; the complainant just signs and dates the form, which also warns that written false statements may be punishable.

How to submit this form

  1. 1

    Download The Complaint Form

    Download the Lykens Borough Complaint Form PDF.

  2. 2

    Complete The Form

    Fill in your contact information, the issue’s location and date, known owner information, and a description.

  3. 3

    Add Any Extra Information

    Use the back of the form for additional information, as directed on the document.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the city department named on the form.

Frequently asked questions

What is the Lykens Borough Complaint Form for?
It lets a complainant report a health or sanitation, zoning or building, or other issue, and provide its location, date, owner information if known, and a description.
Who should complete this complaint form?
A person who wants to report an issue to Lykens Borough can provide their name and contact details, information about the issue, and a signed, dated statement.
Do I need a notary for the Lykens Borough Complaint Form?
No. This document is signed without a notary; the complainant signs and dates it. The form warns that written false statements may be punishable.
How do I submit the Lykens Borough Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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