2. City of Creston, Iowa, Rental Housing Regulatory & Inspection Program Complaint Form
   147.09 Complaints
4. Date Received by Public Works
   Date Received by Public Works
6. All persons making complaints concerning the compliance with the provisions of this chapter of any dwelling, dwelling unit, rooming house, or rooming unit shall do so in the following manner:
   - The complaints shall be in writing upon a form provided by the City of Creston and signed by the complainant.
   
   - Such complaints shall state the address of the premises, the name of the owner, landlord or operator, and shall state the nature of the alleged violation with specificity.
   
   - In the case of tenants making complaints concerning the dwelling or dwelling unit in which they reside, such tenant shall attach a dated copy of the notice in which they requested the owner or operator to correct the alleged violation, unless complaint pertains to an emergency situation as determined by the administration.
   
   - It is a violation of the provisions of this chapter for an owner or operator to take reprisals against any tenant making a compliant under the provisions of this chapter. Any such reprisals shall constitute a municipal infraction.
8. Your First Name
9. Your Last Name
11. Address
13. City
14. State
15. Zip
17. Phone Number
19. Address of Complaint Property
21. City
22. State
23. Zip
25. Owner / Landlord / Operator of Complaint Property
27. Nature of Complaint
29. E-Signature*
    I certify under penalty of perjury that this is a true and accurate statement.
31. Dated Copy of Compaint Information Notice
    If you are a tenant of this property, attach a dated copy of the complaint information notice given or sent to the property owner/manager.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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