Medical Lake, WA · Spokane County

No notary required

Code Enforcement Complaint Form

Medical Lake residents can use this form to report property conditions or uses that may be improper, hazardous, or a nuisance.

What this form is

Any citizen may file a complaint after observing a potentially improper or hazardous condition, use of property, or structure. The form asks for the complainant’s contact information and signature, details about the alleged violation and location, and the complainant’s preference about disclosure of their identity. The city says it needs the completed form before it can act, except where an immediate life safety hazard exists.

Who needs it

A citizen who wants the city to investigate a potentially improper or hazardous property condition can complete and submit this complaint form.

How to submit it

Submit the signed form by fax to (509) 565-5008, email to [email protected], mail, or deliver it in person to City of Medical Lake Code Enforcement, P.O. Box 369, S. 124 Lefevre, Medical Lake, WA 99022.

About notarization

This document is signed and dated without a notary; the form asks the complainant to sign and date it, with no notarized or sworn attachment mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Code Enforcement Complaint Form.

  2. 2

    Complete The Form

    Provide your contact information, sign and date the form, and describe the alleged violation and its location.

  3. 3

    Gather Supporting Information

    Provide photographs, maps, or other documentation to substantiate the violation if possible.

  4. 4

    Submit To The City

    Fax, email, mail, or deliver the completed form to City of Medical Lake Code Enforcement using the contact details on the form.

Frequently asked questions

Do I need a notary for the Code Enforcement Complaint Form?
No. The form asks you to sign and date it, but does not require notarization; no notarized or sworn attachment is mentioned.
Who can file a code enforcement complaint?
The form says any citizen may file a complaint after observing a condition, property use, or structure that is improper or potentially hazardous.
How do I submit the Code Enforcement Complaint Form?
You may fax it, email it to [email protected], mail it, or deliver it in person to City of Medical Lake Code Enforcement at the address shown on the form.
What information does the complaint form request?
It requests your contact information and signature, the alleged violation’s location and nature, and your preference about disclosure of your identity. Photographs or other supporting documentation may be provided if possible.

Need something notarized?

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