West Hazleton, PA · Luzerne County

No notary required

Code Violation Complaint Form

West Hazleton residents use this form to report a suspected code or zoning violation to the Borough’s Code Enforcement office.

What this form is

This form lets a complainant report a suspected code or zoning violation at a property in West Hazleton. It asks for the complainant’s contact information, the property address, the owner or landlord’s name if known, whether they were contacted, and a factual description of the issue. The Borough’s Code Enforcement office uses the remaining section to record receipt and actions taken.

Who needs it

A person who wants to report a suspected code or zoning violation in West Hazleton can complete and submit this complaint 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 complaint is signed and dated without a notary; it warns that false or misleading information may be subject to penalties for unsworn falsification.

How to submit this form

  1. 1

    Download The Form

    Download the Code Violation Complaint Form PDF.

  2. 2

    Complete The Complaint

    Provide your contact information, the property address, and factual details about the suspected violation.

  3. 3

    Review And Sign

    Review your information, then sign and date the complainant section.

  4. 4

    Submit To The Borough

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

Frequently asked questions

What information does the Code Violation Complaint Form request?
It asks for your name and phone number, the property address, the owner or landlord’s name if known, whether that person was contacted, and details of the complaint.
Do I need a notary for the Code Violation Complaint Form?
No. The form has a complainant signature and date line, but no notary block. It warns that false or misleading information may be subject to penalties for unsworn falsification.
How do I submit the Code Violation Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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