Fairchance, PA · Fayette County

No notary required

Code Enforcement Complaint Form

Fairchance residents use this form to report suspected code violations, describe their location, and provide contact details so borough staff can review the complaint.

What this form is

This form lets a Fairchance resident report an alleged code violation to the Borough Office of Code Enforcement. It asks for the violation address, checked violation types, a detailed description and location, and the complainant’s name, address, date, phone number, and signature. The form notes that a complainant may be asked to testify in Magistrates Court if the complaint results in a citation.

Who needs it

Fairchance residents who want to report an alleged code violation should complete and sign this complaint form.

How to submit it

Complete, sign, and return the form to the Borough building in person, by fax, or by email; the form lists 125 W. Church St., Fairchance, PA 15436.

About notarization

No notary is required; the complainant signs and dates the form, and it identifies no notarized attachment or sworn related step.

How to submit this form

  1. 1

    Download The Form

    Download the Code Enforcement Complaint Form PDF.

  2. 2

    Complete The Complaint

    Enter the violation address, select alleged violations, and describe each violation and its location.

  3. 3

    Add Your Contact Details

    Provide your name, address, date, and phone number, then sign the form.

  4. 4

    Return It To The Borough

    Return the completed form to the Borough building in person, by fax, or by email.

Frequently asked questions

Do I need a notary for the Code Enforcement Complaint Form?
No. The complainant signs and dates this form; it identifies no notarized attachment or sworn related step.
How do I submit the Code Enforcement Complaint Form?
Complete and sign it, then return it to the Borough building in person, by fax, or by email. The form lists 125 W. Church St., Fairchance, PA 15436.
What information does the complaint form ask for?
It asks for the violation address, violation type, description and location, plus the complainant’s name, address, date, phone number, and signature.

Need something notarized?

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