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Complaint Form

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Steps

  1. 1. Step One
  2. 2. Concern/Complaint Information

  • Step One

    2. Jefferson County Code Compliance
    4. Citizen Concern/Complaint Form
      In an effort to streamline office processes and response times, we prefer that all complaints be submitted electronically for proper processing. If you would not like to submit electronically and/or do not have access to a computer, we would be happy to take your complaint over the phone.
    6. Your Contact Information
      Fill in the information below. Include at least one way to contact you if the need arises--either your email address, mailing address or phone number. No purely anonymous tips or information can be accepted.
    19. Confidential?*
      This complaint form is a public record and is subject to disclosure under the Public Records Act (42.56 RCW). Please let us know if you would like information revealing your identity to remain confidential and exempt from public disclosure. PLEASE NOTE: Due to state law, complaints that engage the judicial system for resolution may not be able to remain confidential. Note also that while confidentiality is allowed, anonymous complaints are not accepted. Please indicate your desire below:
    21. Life/Safety Concern
      I am concerned about my life and/or safety if this complaint does not remain confidential in accordance with RCW 42.56.240(2): "Information revealing the identity of persons … who file complaints with investigative, law enforcement, or penology agencies … if disclosure would endanger any person's life, physical safety, or property. If at the time a complaint is filed the complainant … indicates a desire for disclosure or nondisclosure, such desire shall govern.”