Penbrook, PA · Dauphin County

No notary required

Citizen Complaint Form

Penbrook residents use this form to report a complaint to the Borough’s Code Enforcement Department and provide details about the issue.

What this form is

The Citizen Complaint Form lets a person report an issue to the Penbrook Code Enforcement Department. It asks for the filer’s name, address, phone number and email, the address of the complaint, and details about its nature. The filer must affirm that the information is true and correct and sign and date the form; the borough says the information will remain confidential.

Who needs it

Penbrook residents who want to report a complaint to the Code Enforcement Department can complete and submit this form.

How to submit it

Submit it to the Penbrook Code Enforcement Department; the form lists Borough of Penbrook, 150 South 28th Street, Penbrook, Pennsylvania 17103-1996.

About notarization

This form is signed and dated without a notary; it does not mention a notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Penbrook Citizen Complaint Form PDF.

  2. 2

    Complete The Form

    Provide your contact information, the complaint address, and as much detail as possible about the complaint.

  3. 3

    Sign And Date

    Confirm the information is true and correct to the best of your knowledge, then sign and date the form.

  4. 4

    Submit To The Borough

    Submit the form to the Penbrook Code Enforcement Department.

Frequently asked questions

Do I need a notary for the Penbrook Citizen Complaint Form?
No. The form asks you to sign and date it but does not require a notary or mention a notarized or sworn attachment.
How do I submit the Penbrook Citizen Complaint Form?
Submit it to the Penbrook Code Enforcement Department. The form lists Borough of Penbrook at 150 South 28th Street, Penbrook, Pennsylvania 17103-1996.
What information does the complaint form ask for?
It asks for your name, address, phone number and email, the address of the complaint, details about its nature, and your signature and date.

Need something notarized?

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