FORM IV: REPORTING A HAZARD OR VIOLATION FORM.
For a printer-friendly, PDF version, click: Form IV
CITY OF LINCOLNTON FIRE MARSHAL OFFICE
REPORTING A HAZARD OR VIOLATION
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Name of Person Filing Complaint
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Address of Person Filing Complaint
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Phone Number of Person Filing Complaint
Location of hazard (address - name of business - name of owner or operator if known)
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Type of problem, hazard or violation reported
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A written record of all complaints will be maintained in the Fire Marshal’s office. A report will be attached to the complaint stating any violations or hazards found and what actions were taken.
(Ord. O-02-08, passed 6-5-2008)