City of Boca Raton - Development Services

Code Complaint Form

*Required Fields

Housing/Construction Related Issues: (choose one if applicable)

Other Property Related Issues: (choose one if applicable)

Automobile/Truck/Parking Related Issues: (choose one if applicable)

Other Violation: (please provide a detailed description of the violation)
>> List of Routine Complaints

Please provide an exact Address of the Violation (ex: 5555 North Federal Highway, Suite C4) or a Reference Address (ex: West of 201 West Palmetto Park Road)

VIOLATION ADDRESS:

Street No.	Pre Direction	Street Name*	Suffix	*Zip Code :**

Notification:
A case number will be assigned to your complaint. To receive your case number, please fill out the form below with your personal information for reference purposes. Then call (561) 393-7934 between the hours of 8am-5pm, Monday through Friday. This number will allow you to call for updates pertaining to the actions that have been taken in regards to your complaint. If you have provided us with your contact information we will call you after completion of our initial inspection.

Under Florida law, e-mail addresses are public record. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

Full Name:		Email:
Address:		City:
State:	Zip Code:	Phone: