Citizen Complaint Registration

City of West Bend

Office of Building Inspection

1115 S Main St.

West Bend, WI 53095

(262) 335-5140

 

THIS FORM MUST BE COMPLETELY FILLED OUT OR NO ACTION MAY BE TAKEN

* Indicates a Required field

First Name*:
Last Name*:
Email*:
Date Complaint Filed * :
Staff Member's Name Who Received the Complaint * :
Person Making the Complaint Name * :
Street Address * :
City, State, Zip Code * :
Telephone #s (Include the Area Code) Home/Work * :
Is Confidentiality Requested?
(within the limits of the state Open Records Laws)
Person making the complaint is :
Name (who complaint is registered against) * :
Street Address * :
City, State, Zip Code * :
Telephone # (Include the Area Code) * :
Complaint Location (site/project name) * :
Street Address * :
City, State, Zip Code * :
How was Complaint filed?
The City of West Bend has no jurisdiction over contractual or leasing issues.
Please contact the Wisconsin Department of Agriculture, Trade and Consumer Protection at 1-800-422-7128
(In WI Only) or www.datcp.state.wi.us
Nature of Complaint * :

  

 

 


West Bend City Hall
1115 S. Main Street
West Bend, WI 53095
(262) 335-5100