2. Please use this form to report alleged Town Code violations to Code Enforcement.
   Such violations include but are not limited to noise, transient rentals, property maintenance, zoning or other issues. Be thorough in describing your concern and provide as much information as you can to assist us in resolving this issue expeditiously.
4. New York State Committee on Open Government
   Freedom of Information Law
6. Violation Address:
7. Street Number*
8. Street Name*
10. Southold Town Hamlet*
11. Closest Cross Street*
13. Name of Owner / Tenant, if known.
15. Brief Description of Complaint*
    Example: no pool fence, noise pollution, unregistered vehicles stored in public view.
17. What is the best time of day or day of the week to observe the violation?
19. Have any previous complaints been made?

    1. Unknown

    1. Yes

    1. No
20. If yes, when was the last date submitted.
    If yes, when was the last date submitted.
22. Is the location of the complaint occupied by the owner?

    1. Unknown

    1. Yes

    1. No
24. Does this involve an alleged transient rental?

    1. Yes
    2. No
26. If yes, which site is the rental listed on (if known).

    1. AirBNB
    2. Home Away
    3. VRBO

    1. Craig's List
    2. Other
27. If Other, then please list here.
29. I affirm that all information provided in this complaint is true and factual.*

    1. Yes

    1. No
31. Your First Name
32. Your Last Name
34. Address
36. City
37. State
38. Zip
40. Phone Number
41. Email Address
43. Would you like to be contacted about the complaint?

    1. Yes

    1. No
44. Today's Date*
    Today's Date
46. By submitting this form, I affirm under penalty of perjury to the truth and accuracy of the statements contained herein. I understand that false statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law.
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field